Art Therapy Release of Artwork Agreement
This agreement is made between:
Client Name
Therapist Name
Date
Purpose
I, the undersigned, acknowledge that I am participating in art therapy sessions and have created artwork(s) during these sessions. I understand that these works are a part of my therapeutic process.
Release Terms
- I give consent for the following artwork(s) created in art therapy sessions to be used:
Title or Description of Artwork(s)
- The use of artwork(s) is for the following purpose(s) (e.g., educational, exhibition, publication):
Purpose(s) of Use
- Identify if the artwork(s) shall be credited anonymously or with name:
Name Usage (Check one): [ ] Anonymous [ ] With Name
- I understand that granting or withholding this consent will in no way affect my therapy or relationship with my therapist.
- I may revoke this consent at any time by notifying my therapist in writing.
Additional Notes: