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John Dunn, MA, LCPAT, ATR-BC

John Dunn, MA, LCPAT, ATR-BC 2026

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The document is a consent form for minor clients seeking art therapy services from John Dunn, a licensed and board-certified art therapist. It outlines the therapeutic process, including the importance of art as a means of expression, the therapist's qualifications and approach, appointment policies, payment details, confidentiality agreements, risks associated with therapy, and emergency procedures. The form emphasizes parental involvement in the treatment process and requires signatures to confirm understanding and consent.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Client Information' section. Enter your child's name and your contact details accurately to ensure effective communication.
Review the 'Consent to Treatment' section carefully. This outlines the agreement for therapy services. Ensure you understand each point before signing.
In the 'Emergency Care' section, provide necessary contact information for emergencies. This is crucial for ensuring your child's safety.
Complete the 'Risks of Therapy' acknowledgment. It’s important to understand potential challenges during therapy.
Finally, sign and date the form at the bottom. Make sure all information is correct before submitting.

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