Behavioral Intervention Youth Counseling Consent

Youth Information

Parent/Guardian Information

Counseling Consent

I understand that my child is being offered behavioral intervention and counseling services. I acknowledge that the purpose of these services is to support my child’s social, emotional, and behavioral development. Participation is voluntary and I may withdraw consent at any time.

I have had the opportunity to ask questions and understand the nature and purpose of the counseling services. I understand all information shared will be kept confidential except as required by law.