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Information for New Clients

 

Please read the following guidelines carefully and feel free to discuss any questions or concerns you may have.

 

1.) During our sessions we aim to provide educational training to help kids understand and navigate their social and emotional worlds better.


2.) Individual sessions are set for 50 minutes. Group classes are 60 minutes. 


3.) Your established fee is $495/month for the subscription services including 4 group classes. $325 per individual therapy session, $195 for coaching session and $325 for intake. Once enrollment is complete and payment is submitted, there are no refunds.


4.) In the event that you must cancel or reschedule a session, it is important that I be informed as soon as possible. You will be charged for a session if cancellation or rescheduling is not made at least 24 hours prior to appointment time or if you simply do not arrive for an appointment.  Packages are prepaid and non refundable if you cannot make it to the session.


5.) All information discussed in sessions is protected by the laws of confidentiality. No information may be revealed to outsiders without your written permission, unless disclosure is required by law (e.g. when there is reasonable suspicion of abuse of children or elderly persons, or when the client presents a serious danger to self or others) 
 

I have read the above guidelines and agree to them.

 

Parent/Guardian’s Signature                                      Date

 

Consent for Treatment

 

I, ________________________________________________, (Parent/Guardian) of

 

_________________________________________________ (Child) hereby authorize and give permission for my child to enter into treatment with Social Scholars Licensed Educational Psychology Inc. I understand that the treatment may consist of social skill group work, psychotherapy, assessment, coaching and/or any other appropriate modes of intervention. I may withdraw my consent in writing for treatment at any time if I so choose.

 

Parent/Guardian’s Signature                                                  Date

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