Get Child-adolescent Informed Consent Form - Great Oaks Counseling ...

Completing the Child-Adolescent Informed Consent Form is an essential step in beginning your counseling journey with Great Oaks Counseling. This guide will provide you with clear, step-by-step instructions to help you successfully fill out the form online, ensuring that you understand its components and requirements.

Follow the steps to fill out the form online efficiently.

1. Press the ‘Get Form’ button to obtain the Child-Adolescent Informed Consent Form and open it in your preferred online editor.
2. Begin by filling in the client's personal data, including their name, date of birth, sex, home address, ethnicity, email, and phone number. Ensure all information is accurate and up to date.
3. Next, provide details for Parent/Guardian #1, such as their name, date of birth, social security number, occupation, employer, contact numbers, and email address. Indicate their preferred contact method and whether messages can be left.
4. Repeat the previous step for Parent/Guardian #2. Make sure to provide the same comprehensive information as for the first guardian.
5. Fill out the insurance information section, including the primary insurance provider's name, ID number, group number, and all relevant contact information, including the policyholder's details and relationship to the patient.
6. Carefully review each paragraph under the consent section and initial next to them to confirm your understanding and agreement with the policies outlined regarding confidentiality, records, fees, and emergencies.
7. Complete the emergency contact section by providing the name, phone number, and relationship to the client.
8. Finally, sign and date the form under the Client Signature and Parent/Guardian Signature sections to confirm your consent and understanding of the counseling services.
9. After completing the form, save your changes. You may also choose to download, print, or share the form as needed.

Begin filling out your forms online today to ensure a smooth start to your counseling experience.