Welcome to Charissa'sLifeNuggets. Please take a few minutes to read through this informed consent form to understand more about our counseling process and the use of your personal information when assisting you with your specific needs. 

 

COUNSELING. Biblical counseling is a process carried on in either one-on-one, couple, family, or group sessions with our biblical counselor and the client(s) seeking to learn more about himself/herself for the purposes of inner healing with the use of biblical principles, prayer, and counseling methods pertinent to the specific client and situation. Biblical counsel and coaching is also available to help the client find their God-given talents, giftings, and purpose through prayer, biblical principles, and focused exercises with the intent to make life changes to live a life of balance, well-being, and purpose. This is not for medical advice, or as medical treatment. Charissa'sLifeNuggets, LLC and the representatives of Charissa'sLifeNuggets, LLC will not be held liable for information that is misused or misconstrued. 

CONFIDENTIALITY. We highly respect the privacy and confidentiality of each of our clients. We likewise believe that for counseling to be effective and successful, we must make our clients feel secure about the information that they disclose with us. We keep our clients' records in a secure manner and we do not allow it to be accessed or to be shared with anyone else unless with the written consent of our client who owns the information, both clinical and personal information. If records receive no update within a period of 7 years, we purge the records for privacy protection.

However, we would like to let you know that privacy has its limitations in law and we would like to inform you of the circumstances where we may share information to a 3rd party without your consent:

• Acts of sexual abuse or misconduct
• Criminal acts
• Acts of abuse towards others such as neglect towards children, disabled, or the elderly
• Acts that the therapist believe may cause harm to the client himself or to others
• Compelling legal orders by the court, but nonetheless we will inform the client immediately prior to compliance with the order.
• In case the client is below legal age, we may disclose information to parents or legal guardians.

SESSION APPOINTMENTS. Each session is set to last for 1 hour. Counseling sessions are by appointment only. In the case that client will unable to attend the scheduled appointment, he/she will be required to call 24-hours prior to the appointment time or he/she will be charged 100% of the session fee.

FEES. Fees are charged on a per session basis unless a package of group sessions is offered as part of a specific program with a total fee for all sessions. 

• 1-hour Session ($60)

 

RELATIONSHIP. The relationship required for effective counseling is strictly professional. This is for the safety of both parties.  

CONSENT

I understand that this consent is purely voluntary. I have had the opportunity to discuss any concerns with regard to the services and treatment and by which all questions were answered accordingly and to my satisfaction. 

I understand that I can withdraw anytime from biblical counseling service by informing my counselor. By signing below, I expressly give my consent for sessions of biblical counsel and do not hold Charissa'sLifeNuggets liable for my life decisions.