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support@supportingkidds.org

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Informed Consent

Therapist Credentials – Therapists will inform clients of their credentials upon first meeting. Most therapists at Supporting Kidds are licensed mental health professionals. Those who are not yet licensed are under the supervision of a licensed mental health professional.

Office Hours – Hours are by appointment only. Messages can be left for your therapist at Supporting Kidds. In case of a mental health emergency, contact a crisis service or go to your nearest Emergency Department.

Confidentiality – Information discussed between a client and therapist is confidential. No information will be released without the client’s written consent. However, anything occurring in-session may be discussed with the therapist’s supervisor as needed. Confidentiality is further limited if any of the following occur: a) if abuse or neglect of a child or physically/mentally impaired adult is suspected; b) If a client is at risk of hurting themselves or is contemplating a dangerous act against another person; c) Under certain circumstances, the courts may override confidentiality; d) If you are using a health insurance company to pay part or all of your bill, the company will require at least a diagnosis, and may demand a review of your record. Legal guardians are able to authorize the release of records for each child in a family.

Record Keeping – Clients engaging in assessment and psychotherapy services will have a chart opened under their name for record-keeping purposes. For clients engaging in family therapy, a chart will be opened under the name of each person who receives an assessment. Each chart may contain information about other family members. Policies regarding how records are maintained and disposed of are followed.

Who Attends Meetings – Clients will plan with the therapist who should attend each meeting. Please note that Supporting Kidds does not have a supervised waiting room; therefore, children who are not directly involved in treatment should not come unsupervised. If someone who was supposed to come to a session cannot attend, contact the therapist to create a new plan. Please note that individuals visit Supporting Kidds for a variety of reasons, such as volunteering, fundraising, participation in Supporting Kidds’ programs and services, and receiving psychotherapy from independent practitioners. Not every visitor to the building is a Supporting Kidds client.

Cancellations and Missed Appointments – If you are unable to keep an appointment, call your therapist or Supporting Kidds at least 24 hours in advance. Treatment will be terminated if the client cancels an appointment less than 24 hours in advance or misses an appointment without notice of any kind three (3) times.

Contracting for Treatment – Generally, the first 3-4 sessions are for evaluation and information-gathering purposes, after which the client and therapist will jointly decide the nature and course of treatment.

By signing the Informed Consent Document I agree to participate (or allow the participation of my child in care, treatment, or services, and authorize the Print child name undersigned therapist to provide such care, treatment, or services as are considered necessary and advisable. I understand and agree that I will participate in the planning of my care, treatment, or services, and that I may stop such care, treatment, or services that I receive through the undersigned therapist at any time. By signing this Client Information and Informed Consent form, I acknowledge that I have both read and understood all the terms and information contained herein. Ample opportunity has been offered to me to ask questions and seek clarification of anything unclear to me.

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