The primary client is at least 18 years old.
The primary client is under 18 years old.
Last 4-Digits of Client Social Security Number
(Or Client’s Parent/Guardian’s SS# if Client Under 18)
Select client's primary Choices in Counseling therapist:
Dorian Angebrandt, LCSW
Consent for Telehealth Therapy with Choices in Counseling
I Consent to Participating in Telehealth Therapy with Choices in Counseling.
I DO NOT Consent to Telehealth Therapy with Choices in Counseling.