Psychotherapy is intended to help clients understand and work through personal, emotional,

and psychological challenges. While it can lead to positive changes, progress varies and may

bring up uncomfortable feelings as issues are explored.

Your privacy is very important. All information shared in therapy is confidential and won’t be

disclosed without your written consent, except in the following situations:

1. If there’s a risk of harm to yourself or others.

2. Suspected abuse of a child, elder, or vulnerable adult.

3. When required by law or court order.

Each session lasts 45-50 minutes. Please provide at least 24hr notice if you need to cancel.

Missed sessions without notice may be charged and the right of admission is reserved.

I confirm that I understand the goals, potential risks, and limits of confidentiality in therapy. I

consent to begin treatment and understand I can withdraw from therapy at any time.