Art Therapy Session Consent Form
Client Information
Full Name
Date of Birth
Email
Phone
Emergency Contact
Contact Name
Relationship
Phone
Consent
Please read the following and confirm your consent:
I understand the nature and purpose of art therapy sessions and agree to participate.
I acknowledge that whatever I create during sessions is confidential.
I consent to the therapist maintaining session notes and artwork securely.
I understand I can withdraw from therapy at any time.
Additional Notes
Client Signature
Date
Therapist Signature
Date