College Center 165 . We are personally, professionally, and legally committed to your right to privacy. ]��(���:t^/;�F��v:C[IlN���o�e{Udk4ne'�c�Mb�GK$���W�'��%�&�����i}ۥu���g�H�-��K�j��!�Lj~�5O> �� PK !
COUNSELING CENTER INFORMED CONSENT The Counseling Center adheres to strict confidentiality guidelines set by each professional’s national and state ethical codes/guidelines. Please notify us at least 24 hours in advance to cancel an appointment.
Providers may not check their e-mail on a regular basis and may miss your message. Experienced professional counselors supervise and oversee the work of our counseling interns. PLEASE NOTE: I created this site to be fully accessible for people with disabilities; please follow this link to change text size, color, or contrast; please follow this link for other accessibility functions for those with visual, mobility, and other disabilities. Mrywood Counseling/Student Development Center offers students assistance with time management, study skills, counseling and therapy for serious psychological issues, support groups, and group sessions on topics important in the student community. If you are working with an intern you may be asked to agree to have a session tape recorded so that the supervisor can better evaluate and supervise the intern. If I am having suicidal thoughts or making plans to harm myself, I may also call the National Suicide Prevention Lifeline at 1- 800-273-TALK (8255) for free 24-hour hotline support. The counseling and medical offices often consult and work together to meet the individual’s emotional and physical needs. ). This way the time can be made available to other students. What is discussed with your provider will remain confidential within the Total Health Center. We must warn the victim or police if a counselor or medical provider knows of a client’s threat to harm another person or property. Adams Center Counseling Services Survey; Contact Information. This document is intended to give you information about the services we provide, policies and procedures we follow, what you can expect from your counselor or medical provider, and what we ask of you. The Center is staffed by professionally trained providers and counseling interns. In order to provide you with the best services possible, and for purposes of consultation, supervision, or referral, we may discuss or review information about a client with fellow staff members. Upload all required forms: Immunization record, Informed Consent for under 18 years of age; Instructions for completing Wellness Center health information FORMS (complete online) Health History Form: This form is for new incoming students only. Please read this carefully. BERRY COLLEGE COUNSELING CENTER CONFIDENTIAL INFORMED CONSENT FOR COUNSELING SERVICES Name _____ Date of Birth _____ ID# _____ I understand that as a student at Berry College, I am eligible to receive short-term counseling and psychotherapy at the Counseling Center (BCCC) at no additional charge. h�bbd```b``j ��`2D2��H�0;D�V��;���,7����،=����kL@���ā�Q������3@� jh! h�ĕmk�0ǿ��޴��K� %��� �$�20~�&ZjH�`�[��w'ۉ�ѥ��Fb�r��t��9�8hZ� @k�!�(�A�`8�� �ܠ�4�+""�F��8?g�v��d��O;�.��Y�T�-��3Ű��)���f�`���E���AI� �ݕM���g#[�Τ0l�I�%x������L�a(�sN3b�M���ӭ-�I~k��}�o��� ߬�bQ��s�&U�I��l���ٵMVi��\�M�X�%q6�����ah J�HwU^��M�R�^/�;��Ǘ�����F�� �^:yC�j���35��;���Ԛ�������Ȗ9Հ-Ҭ�����8-�jx�m �8L�u�(���.��=�UT�y�`]��d��%q��_炋.�w���B��s.�H��!a�j�࿀��{��.�)N6��5�U�ص����� ���b���@���Q�'�;ҚmF�]��7v�rgDXe'� ml\���ɣ��G!e�|��������d�ĥ��)��uZV��I���S\o���-��>��tc%�Н��R�#�y�ݱ����Q�u,t��Xr'�^��?�~� #�{&zs�-�0jFxc����X�Qql�L�+t����>��p2�=�X�I�%��.5���r2�Iv�%�� ����i#ܔ_�Jj��"L�pGod�`z4��U�l���W>���ڼή�ސ��c��Ȃ�O�Ϣ��.� �8Q` 37 0 obj <> endobj f?��3-���޲]�Tꓸ2�j)�,l0/%��b� Informed Consent in Psychotherapy & Counseling: Forms, Standards & Guidelines, & References. This page will be kept on file in the Total Health Center. You are more likely to reap the benefits of our services when you invest time and effort into the process. Informed Consent for Remote Therapy Services .

We must report to the appropriate professional associations and licensing boards if a student reveals any unethical behavior by a provider. Amarillo College Counseling Center Intake Packet The following information is needed to best serve you. The NSU Center for Student Counseling and Well-being helps NSU community members cope with anxiety, personal and financial stress, suicidal thoughts, and other issues. Complete or update your health history form, TB Risk and informed consent. endstream endobj startxref endstream endobj 41 0 obj <>stream These require that we safeguard information about you, refrain from role conflicts such as business arrangements or intimate, social and/or sexual relations; follow appropriate and acceptable diagnostic and treatment practices within our levels of expertise and competence; and protect the welfare and dignity of all the people we serve. In an effort to preserve server space, video content stored by Truckee Meadows Community College is regularly audited.