I understand and agree that I will participate in services and that I may discontinue treatment and/or withdraw my consent for treatment at any time. I have chosen to participate in outpatient counseling, either voluntarily or in order to comply with mandates. My signature on this document indicates that I understand there may be possible risks and benefits associated with treatment. Breaches of confidentiality regarding information gained from other clients/group members (including names of group members) may result in you being discharged from services at Phoenix Counseling Center. Confidentiality is important in the group setting so that you and others may feel comfortable to share what you want. Please do not share any information you receive from other clients with anyone else, unless that information concerns threat of harm to that client or to others, in which case the information should only be shared with a staff member who will then inform the appropriate entities. We also expect you to honor the confidentiality of other clients at the agency. Counseling also involves the potential benefit for greater awareness of self, improved problem-solving abilities, improved communication skills, and stable recovery.Īt Phoenix Counseling Center you can be assured that no information you share with your counselor or other staff member will be shared with anyone outside of agency staff, unless you have given us written consent to do so. Risks might include experiencing unpleasant and/or uncomfortable feelings. There are potential risks associated with any form of counseling. Our treatment services include individual, group, couples, and family counseling sessions for voluntary and mandated clients. Furthermore, you can find the Troubleshooting Login Issues section which can answer your unresolved problems. Furthermore, you can find the Troubleshooting Login Issues section which can answer your unresolved problems and equip you with a lot of relevant information. LoginAsk is here to help you access Hipaa Signature Form For Patients quickly and handle each specific case you encounter. Hipaa Jotform Login LoginAsk is here to help you access Hipaa Jotform Login quickly and handle each specific case you encounter. We are a nonprofit, outpatient counseling center offering substance use and mental health services for adults, adolescents, parents, and families living in the Rogue Valley. Hipaa Signature Form For Patients will sometimes glitch and take you a long time to try different solutions. Our motto, “Counseling from the Heart,” describes the warm, home-like setting you will experience while in treatment at Phoenix Counseling Center. Phoenix Counseling Center utilizes a client-centered, trauma-informed approach.
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