Form09 - [ FORM 9 Use the top of this page for your...

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Unformatted text preview: [ FORM 9 Use the top of this page for your letterhead.] Agreement for Individual Therapy I, , the client, agree to meet with the therapist named below at the appoint- ment times and places we agree on, starting on , , for about sessions of minutes each. I have read the following materials on therapy, which have been provided to me by this therapist: 1. 3. 2. 4. I believe I understand the basic ideas, goals, and methods of this therapy. I have no important questions or con- cerns that the therapist has not discussed. In my own words, I understand the following: 1. According to this therapy, the causes of my problems lie in: 2. The main methods to be used in this therapy are: 3. During these sessions, we will focus on working toward these goals: a. b. I understand that reaching these goals is not guaranteed. 4. I understand that I will have to do the following things/take the following actions: a. b....
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