Consent Form
Prior to your first appointment, please complete the following Confidentiality and Consent Form.
The information will be submitted electronically using encryption and will remain confidential, and not be shared with anyone without your written consent.
Abma Counselling Services
Confidentiality and Consent Form
Please complete this confidentiality and consent form prior to your first appointment.
Parents or guardians: Complete this form for clients under the age of 16.