STRATEGIES FOR PARENTING
Parenting is a rewarding journey, but it also comes with challenges that can feel overwhelming at times. The "Strategies for Parenting" clinical support group is here to help. Designed for parents and caregivers, this group provides a safe, supportive space to share experiences, learn effective strategies, and gain practical tools to navigate the complexities of parenting.
Please complete this form to connect with a member of our team.
Parent/Caregiver Name
*
Age of Child(ren)
*
Phone Number
*
Email
*
How did you learn about this class?
What is your main parenting concern?
General Therapy Consent
I understand that therapy involves discussing personal challenges, goals, and feelings, and that results cannot be guaranteed. I agree to participate voluntarily and may stop therapy at any time. I understand that my information is confidential except in cases where disclosure is required by law (e.g., risk of harm to self or others, child/elder abuse, or court order). I consent to treatment and acknowledge I have been informed of the risks, benefits, and alternatives. If I experience a crisis, I understand I should call 911 or 988 (Suicide & Crisis Lifeline), or go to the nearest emergency room.
Telehealth Therapy Consent
I consent to receive therapy services via secure telehealth technology. I understand that telehealth has benefits (greater access, convenience) and risks (technical issues, limits to privacy, rare breaches of security). I agree to use a private space for sessions and will not record sessions without permission. I understand that telehealth is not a substitute for emergency services. If I experience a crisis, I understand I should call 911 or 988 (Suicide & Crisis Lifeline), or go to the nearest emergency room.
By signing below you acknowledge that:
*
I consent to participate in therapy voluntarily, understand confidentiality limits, and know results cannot be guaranteed. If I experience a crisis, I will call 911, 988 (Suicide & Crisis Lifeline), or go to the nearest emergency room.
I consent to receive therapy via telehealth, understand the benefits/risks, and agree to use a private space. If I experience a crisis, I will call 911, 988 (Suicide & Crisis Lifeline), or go to the nearest emergency room.
Signature
*
Continue
Should be Empty: