Art Therapy Session Consent Form
Participant Information
Full Name
Date of Birth
Today's Date
Parent/Guardian Name (if under 18)
Consent
I consent to participate in art therapy sessions provided by:
Therapist Name
Purpose/Goals of Art Therapy
Confidentiality Agreement
Confidentiality Details
Risks and Benefits
Potential Risks
Potential Benefits
Consent Statements
I understand the nature, risks, and benefits of art therapy.
I understand my right to withdraw from art therapy at any time.
Participant Signature
Date
Parent/Guardian Signature (if under 18)