New counseling/mental health client – adult

I/we hereby give permission to my therapist at Family Counseling Service to record my/our counseling sessions on an ongoing basis. It is my/our understanding that recordings may be shared with other professionals employed by Family Counseling Service for the purpose of case review, staff training and/or professional consultation and supervision. Video sessions will be stored in a secure cloud-based system and destroyed at the request of the client or when no longer needed for training and/or supervision. I understand I can revoke consent at any time.

I/we understand that my counselor may be a clinical intern who is currently a student at an accredited university or enrolled in a certification program requiring evaluation of their counseling skills. I consent to, as part of the professional development, the sharing of these recordings with a clinical supervisor/instructor at their university/institute. I understand that part of that review process may include the recording being viewed by other students and/or the professor for training purposes only. I also acknowledge that these students and professor are required by law to adhere to the same state and federal confidentiality statutes as any other mental health professional.