INFORMED CONSENT AGREEMENT
This form explains all about my practice, how things work, and the risks/benefits of therapy. There are places within the form for you to enter your emergency contact information and communication preferences (you can check off as many as you'd like).
You can download a copy of the privacy practices here. You don't need to print or sign it, there is a spot in the Informed Consent form where you mark to acknowledge you've received a copy.
If you have any questions or need to reschedule your appointment, you’re welcome to send an email to khagar@mindfullybalancedtherapy.com or call/text (847) 447-2919.