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The Counseling Center

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INFORMATION AND CONSENT

Qualifications/Experience:
• We are pleased you have chosen The Counseling Center for your counseling services. This document is intended to notify clients regarding the experiences of Mr. Minter and to assist you in understanding the client-counselor professional relationship. Mr. Minter is certified by the National Board of Certified Counselors (a private national counselor certifying agency) as a National Certified Counselor. The Counseling Center’s practice is limited to individuals (adult), couples, families, and groups.

• Mr. Minter holds an Educational Specialist Degree in Educational Leadership and a Master of Science in Counselor Education with a concentration in Clinical Mental Health Counseling from …show more content…

The Counseling Center believes as clients become more accepting of themselves, they are more adept of finding contentment in their lives. Though, self-awareness and self-acceptance are goals that occasionally require an extended time to achieve. If counseling is effective, the client will sense that he is capable to face life’s trials in the future minus any aid or intervention from The Counseling Center.

Client/Counselor Relationship:
• Counseling sessions are intimate emotionally and psychologically, it is imperative for the client to understand that the client and counselor have a professional relationship instead of a personal one. Interactions will be constrained to paid sessions with the counselor. Between session exchanges via email will be discussed in advance and acknowledged that they may not constitute an actual therapeutic session. Clients are best served if the client-counselor relationship remains strictly professional and if our sessions focus completely on the client’s concerns.

Symptoms and …show more content…

I will keep confidential anything you say to me, with the following exceptions:
a. I determine that you are in danger of harming yourself or others,
b. You direct me in writing to tell someone else,
c. A court subpoena is issued and I am court-ordered to disclose information,
d. I am mandated by the state of Georgia to disclose to appropriate social agencies any current or past child abuse and names of abusers that you reveal to me.

By your signature below, you are indicating that you have read and understand the information, and that any questions you have about this statement have been answered to your satisfaction. Your signature indicates that you agree with the conditions of counseling that are stated here and that you commit yourself to compliance with them.

____________________________ _________________________
Gregory T. Minter, Ed.S, NCC Client’s Name and Signature

Date: _______________________ Date:

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