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Parental Consent For Therapy Form
"I need a Parental Consent For Therapy Form for my private practice in Singapore that specializes in art therapy for children with autism, including specific provisions for video recording sessions and using artwork in therapy documentation."
1. Client Information: Child's details, age, medical history, and contact information
2. Parent/Guardian Information: Legal guardian details and relationship to child
3. Consent Declaration: Explicit consent statement for therapy services
4. Service Description: Nature of therapy services to be provided
5. Confidentiality Statement: Privacy and data protection commitments
6. Emergency Procedures: Protocol for emergencies during therapy
1. Insurance Information: Details of medical insurance coverage, used when therapy is covered by insurance
2. Video/Audio Recording Consent: Additional consent for recording sessions, if applicable
3. Group Therapy Provisions: Additional terms for group therapy participation
4. Telehealth Consent: Additional terms for online therapy sessions
1. Fee Schedule: Detailed breakdown of therapy costs and payment terms
2. Privacy Policy: Detailed data protection and confidentiality policies
3. Emergency Contact Form: Additional emergency contact information
4. Medical History Form: Detailed medical history questionnaire
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