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Adolescent Informed Consent Form - The PSYCH Group, LLC

Adolescent Informed Consent Form - The PSYCH Group, LLC 2025

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The document is an Adolescent Informed Consent Form from The PSYCH Group, LLC, outlining the privacy policies and confidentiality rules regarding counseling and therapy for adolescents. It explains the importance of confidentiality, the circumstances under which information may be disclosed (such as threats of harm or abuse), and the communication protocols with parents, guardians, schools, and doctors. The form emphasizes the adolescent's right to privacy while also detailing the legal obligations of the therapist to ensure safety.

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Click ‘Get Form’ to open it in the editor.
Begin by reading the introductory section carefully. This outlines what to expect during your counseling sessions and emphasizes the importance of confidentiality.
In the 'Confidentiality' section, review the exceptions where confidentiality may not be maintained. Understanding these points is crucial before proceeding.
Sign in the designated area to indicate that you have reviewed and understood the policies regarding confidentiality.
For parents/guardians, check the boxes indicating your agreement with respecting your adolescent's privacy and sign where indicated.
Ensure all signatures are dated correctly before submitting the form.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the 5 steps of informed consent?

Informed Consent, psychologists inform participants about (1) the purpose of the research, expected duration and procedures; (2) their right to decline to participate and to withdraw from the research once participation has begun; (3) the foreseeable consequences of declining or withdrawing; (4) reasonably foreseeable

What is informed consent with adolescents?

To be legally valid, consent must be sufficiently informed and be freely given by a person who is competent to do so. If young people lack the competence to make decisions, parents have the legal power to consent on their behalf.

What is informed consent in child and adolescent?

Informed consent must include the patient being competent and understanding the options, risks, and benefits. For pediatric patients, parental consent, or consent from a surrogate, must be obtained for medical procedures, treatment, or research.

What is an example of informed consent for a minor?

Contents. People aged 16 or over are entitled to consent to their own treatment. This can only be overruled in exceptional circumstances.

Can I make my own consent form?

The entire informed consent process involves giving a subject adequate information concerning the study, providing adequate opportunity for the subject to consider all options, responding to the subjects questions, ensuring that the subject has comprehended this information, obtaining the subjects voluntary agreement