Parent/Guardian Consent for Minors

Parental / Guardian Consent Form For Minors (under 18’s) to attend for Counselling

STRICTLY CONFIDENTIAL

I / We (Parent/Guardian) (required)
hereby give my / our consent for (Address)
Child's D.O.B.

To attend online counselling sessions with ExpatCounsellingNow with Scott Langston.

It is also understood that the counselling sessions are strictly confidential to
the client i.e. minor and exceptions to confidentiality ('Limits of Confidentiality') within the session will be discussed, clarified and agreed prior to commencement of therapy with parent / guardian and client.

Your Email (Parent/Guardian) (required)

Contact email for Minor (if different)

Completing you name below and checking the checkbox constitutes your legal signature:

Parent/Guardian I agree

Child/Minor I agree

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