Keyboard and Mouse

Consent Form

Prior to your first appointment, please complete the following Confidentiality and Consent Form.

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The information will be submitted electronically using encryption and will remain confidential, and not be shared with anyone without your written consent.

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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.