All interactions which take place in the setting of therapy are considered confidential. This includes requests by telephone, all interactions with this counselor, any scheduling or appointment notes, all session content records and any progress notes that your therapist will take during your sessions. Your therapist will not even verify that you are a client. You may choose to give your therapist permission in writing to release any or specific information about you to any person or agency that you designate.
Limits to this agreement
I have read and discussed the above information with my therapist. I understand the nature and limits of confidentiality.
Client/Legal guardian’s signature Therapist’s signature
Emergency Contact: _______________________
CNIC No: ______________________________
This option only available on Mobile.