Informed Consent and Client Intake

Informed Consent I have received the informed consent form from Matt L. Drabek. I have read, understood, and hereby consent to what is described in the form. I understand the given information about the counselor’s responsibilities and about my expectations. I have had an opportunity to ask preliminary questions about philosophical counseling. All questions that I asked were answered to my satisfaction.

Client Intake

Full Name:

Pronouns:

Address:

Email Address:

Phone Number:

Primary Topic of Concern:

Goals for Philosophical Counseling Sessions:

Date:

Electronic Signature (Type your name):

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