Informed Consent for Parent/s or Guardian of a Child

The decision to have one’s child see a therapist is not an easy one. Parents and guardians have a natural curiosity and concern about their child’s therapy. They need to understand the nature of their child’s treatment, including the goals and methods specific to working with children, ways to support their child, as well as their rights and limits to their child’s records.

This informed consent describes:

• The importance of their child’s privacy and confidentiality and its limits
• How information about their child will be shared, including safety concerns and emergencies
• Access to their child’s records and how long they are stored
• And more…

This consent must be signed before their child can begin treatment. For all other practice policies concerning treatment and payment please refer to the Informed Consent and Policies.

Customization

This document can and should be customized for your practice needs and state requirements. Areas that may need to be customized are highlighted in yellow. You may make any changes needed other than the copyright. This document is not a substitute for legal advice.

These forms are provided in Microsoft Word format and include a header already customized with your practice information. It’s a valuable time saver because every document arrives with your details filled in and ready to use. You’ll be prompted to enter your practice information during checkout so we can prepare your personalized files.