Cheryl Fink, LMFT MFC #47900

This consent form is required before returning to in-person sessions. This form talks about Office Policies during a pandemic and the requirements of clients and therapist in conducting in-person sessions. *PLEASE NOTE THAT MASKS ARE REQUIRED FOR IN-PERSON SESSIONS*

Important information regarding how information communicated to a therapist is utilized in family or couples sessions. Please have all members who will be participating in counseling sign this document and bring with you to your first session.

Print and fill out this form and bring with you to your first session. This will allow me to get to know you better.

Please fill this out and either send it, or bring it to your next session. This will be completed before each session.

Important information about how contact via internet is viewed and conducted, including contact on social media sites such as Facebook. This document is for you to read and keep. You will sign that you read and agree to this policy when you sign the Agreement of Services.

Print, sign and return this form if you plan to use telephone or video for all or part of a session.