General Information 

The therapeutic relationship is unique, blending a highly personal interaction with a clear, contractual understanding. This consent form outlines a framework for our collaborative work, including both the therapeutic process and practical policies. Please review it carefully, discuss any questions with me, and indicate your understanding and agreement by signing below.

The Therapeutic Process 

Psychotherapy is a working, cooperative relationship between you and your therapist. While there are no guarantees regarding the outcome, your active participation increases the likelihood of a meaningful experience. Therapy often involves discussing challenging aspects of your life and may bring up uncomfortable emotions like sadness, anxiety, anger, or frustration. However, it can also lead to personal growth, reduced distress, improved relationships, and increased coping skills. Your therapist will contribute their knowledge, expertise, and clinical skills. You, as the client, are responsible for bringing an attitude of collaboration and a commitment to the therapeutic process. Psychotherapy requires effort inside and outside of sessions, and success often depends on your willingness to engage in that work.

Initial Sessions and Treatment Planning 

The first few sessions typically involve a comprehensive evaluation of your needs. By the end of this period, I will offer you my initial impressions and we will collaboratively develop treatment goals and a plan. You are encouraged to ask questions at any time, and if you decide you would prefer a different provider, I am happy to offer referrals.

HIPAA and Privacy Practices

Well Counseling Group, LLC complies with the Health Insurance Portability and Accountability Act (HIPAA) to protect the confidentiality of your protected health information (PHI). Your health records are maintained securely, and you have the right to access and request corrections to your records. A full Notice of Privacy Practices (NPP), which outlines how your information may be used and disclosed, will be provided to you separately. Please review it and ask any questions you may have.

Confidentiality

All session content and related treatment information will remain confidential unless you explicitly request in writing that specific information be disclosed. Legal and ethical exceptions to confidentiality include:

●       Risk of serious harm to yourself or others

●       Suspicion of child, elder, or dependent adult abuse or neglect

●       Compliance with a valid court order or subpoena

●       When therapy is mandated by a court or when clinical opinions are required for legal proceedings

I may occasionally consult with professional colleagues to ensure the highest quality care. Your identity will not be revealed in these consultations. Should we encounter each other outside of sessions, I will not initiate contact to protect your confidentiality. If you choose to acknowledge me, I will respond briefly and respectfully.

By signing below, you confirm your understanding and acceptance of these terms.