Free Therapy Consent Form Template
Therapy Consent Form
This consent form is designed to outline the purposes and obtain your consent for participation.
Name
Please provide your full legal name.
Address
Please provide your current address.
Please provide your email address.
Do you understand the purpose of this activity?
Do you agree with how the information will be used?
Are the objectives of this research/project clear to you?
Do you consent to participate?
Please select an option to indicate your consent.
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Yes
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No
Additional comments
Any additional comments or questions.
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