Art Therapy Minor Client Consent Form

Client Information

Minor's Name

Date of Birth

Age

Parent/Guardian Name Relationship to Minor

Consent

I acknowledge that I am the legal parent/guardian of the above-named minor and consent to their participation in art therapy sessions. I understand that art therapy sessions involve creative and therapeutic processes led by a qualified art therapist.

I have read and understood the above information. I consent to my child participating in art therapy.

Confidentiality

Information shared in art therapy sessions is confidential except where disclosure is required by law (such as concerns about safety or abuse).

I understand the limits of confidentiality as explained above.

Parent/Guardian Signature

Signature

Date

Therapist Information

Therapist Name Contact Information