Walk and talk therapy consent form 2025

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4.8 out of 5

121 votes

The document is a consent form for walk/talk therapy provided by Growth Counseling Services. It outlines the client's responsibilities, the nature of the therapy, and confidentiality measures. The client acknowledges their role in setting the pace, communicates any discomfort, and assumes responsibility for their well-being. The form emphasizes that this therapy is not exercise-focused and includes provisions for maintaining privacy during sessions.

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Click ‘Get Form’ to open the walk and talk therapy consent form in the editor.
Begin by filling in your name in the designated space at the top of the form. This identifies you as the client requesting walk/talk therapy.
Review each agreement carefully. You will need to acknowledge your understanding of responsibilities regarding pace, communication, and medical conditions by checking or signing next to each statement.
In the signature section, sign your name to confirm your consent and understanding of the terms outlined in the document.
Finally, enter today’s date and print your name clearly below your signature to complete the form.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (121 Votes)

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Got questions?

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

Is walk and talk therapy covered by insurance?

A: Walk and talk therapy is typically covered by insurance, but its recommended to check with your insurance provider to confirm your coverage. Q: How long are walk and talk therapy sessions? A: Walk and talk therapy sessions typically last around 50-60 minutes, which is the same as traditional therapy sessions.

What are the 5 requirements of consent?

Consent must be freely given, informed, specific, unambiguous, and verifiable.

What is a valid form of consent?

any freely given, specific, informed and unambiguous indication of the data subjects wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her.

What is the CPT code for walk and talk therapy?

CPT code 90834: Psychotherapy, 45 minutes.

Do consent forms hold up in court?

Fourth, consent forms are legal documents. Courts have characterized consent forms as establishing contractual relationships between investigators and subjects, which imply legal duties.

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How to write a simple consent form?

Follow these steps to write an effective consent form. Step 1: Title and introduction. Step 2: Description of the activity. Step 3: Risks and benefits. Step 4: Confidentiality and data handling. Step 5: Voluntary participation and withdrawal. Step 6: Consent statement. Step 7: Signature and date. Step 8: Contact information.

What are the three requirements of a consent form?

To be valid, consent must be voluntary, informed, specific, current, and given by a person with capacity. Unless otherwise indicated, consent can be express or implied, written or verbal.

Can you write your own consent form?

If you prefer to write your own consent document, you may do so, but be sure to include all required elements of informed consent.