Consent to Treatment and Confidentiality Forms
Please Read and Sign
This is a 10 Page document and will take some time to read and fill out. You can do so in Adobe or google docs.
3rd party consent:
*Although she holds a Masters in Counseling, Rebekah is not a clinical counselor or psychotherapist. She is a Spiritual Adviser who adheres to ACA ethical guidelines and provides her services as a Breakup Specialist under the “Coaching” umbrella.