Form12 - [FORM 12-Use the top of this page for your...

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[ FORM 12 —Use the top of this page for your letterhead.] Agreement for Group Therapy As a group member, I have rights and benefits as well as duties, and I understand that some of them are described in this agreement. This group will be called and will meet from to on at . The total cost of this group is $ , or $ per session. I agree to pay this fee even for group meetings I do not attend, unless I make other arrangements in advance. The purpose of this group is to provide me with the opportunity to achieve the following goals: 1. 2. 3. I agree to work in this group. This means openly talking about my thoughts and feelings, honestly reporting my behaviors, keeping my promises, and exchanging helpful feedback with other members of the group. I will attend all meetings of this group from start to finish, even if I do not always feel like it. If I cannot attend, I will tell the group a week in advance (at the beginning of that meeting), or, if it is an emergency, call one of the leaders as soon as I know I cannot attend. If I decide not to go on or am unable to go on with the group, I will discuss my reasons with the group and its leaders, and I will give 2 weeks’ notice to the group. I will not socialize outside the group with any of its members or leaders. This is needed so that everyone will be
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This note was uploaded on 07/01/2010 for the course COUN 6682 A and taught by Professor All during the Spring '10 term at Walden University.

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Form12 - [FORM 12-Use the top of this page for your...

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