Informed Consent (John Cordray)

Twin Oaks Counseling
Informed Consent

At Twin Oaks Counseling Services we believe conseling is a proces whereby a counselee seeks to resolve personal, interpersonal, and / or spiritual difficulties with the assistance of another caring individual.  Your counselor will bring to the sessions his or her professional knowledge and experience, but the ultimate responsibility for growth and change rests with the client.

You are invited at any time to ask questions about your counselor, his or her methods, the direction the counseling is headed, and the estimated duration of counseling.

As a client of Twin Oaks Counseling Services, it is your right to have the content of your therapy sessions held in confidence with these exceptions in which we are mandated to report:
1.)  If client signs a release form for us to divulge any or all information.
2.)  If client intends suicide.
3.)  If client intends to harm another person or persons.
4.)  In the case of child, elder , or handicapped abuse or neglect.
5.)  In response to a subpoena issued by a court of law.

John Cordray is a Provisional License Proessional Counselor for Twin Oaks Counseling and he is supervised by Dayna Osborne, LPC.  John has over 16 years of experience working with children and teenagers in a variety of ministry settings.

Counseling sessions typically last 30-50 minutes and John's fee is $45.00 per session.  We would prefer payment in the form of a check made payable to TOPC with the initials C.C. (Counseling Center) on the memo line.  Please give your payment to John before your session begins.  We do not bill for services, and if you desire to receive a receipt for payment please ask for one.

If you need to change or cancel an apointment, please notify us at least 24 hours prior to your appointment.  Failure to do so will result in you being charged for the full amount for the session.  If the client is a minor, please coplete the Consent For Treatment Of A Minor form.

I understand and agree to abide by the above policies.

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                             Signature                                                                                                                    Date

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                         Counselor Signature                                                                                                Date

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8:25 a.m.      Announcements
8:30 a.m.      Worship Service
10:00 a.m.   
       Adult Sunday School
       
Children's Sunday School
11:00 a.m.    Worship Service
6:00 p.m.      Worship Service

Communion:
The first Sunday of the month
Baptisms:
The second Sunday of the month
Receiving New Members:
September 21, 2008

Sign Language Interpreters:
At 11:00 a.m. Worship Services
Special Needs & Deaf Ministries

In morning Worship Services,
during offertory, the children
are excused to attend
Children's Church.