Client Consent to Treatment

Client Consent to Treatment:

I have carefully read and understand this statement. I have been given a copy of Elizabeth Fuller’s Professional Disclosure Statement and had it explained to me by Elizabeth Fuller. I understand the limits to confidentiality required by law. I understand my rights and responsibilities as a client, and my therapist’s responsibilities to me. I agree to undertake therapy with Elizabeth Fuller. I may end therapy at any time and refuse any requests or suggestions made by Elizabeth Fuller. I have been provided with a copy of this form. I have had the opportunity to ask questions and have received needed clarification.