Consent for Treatment of Children or Adolescents

 I/We consent that the patient named below may be treated as a client at Blue Skies Counseling.

It is understood that children over the age of 12 have confidentiality protected by law. At times it may be necessary to schedule appointments during school hours. We ask for your cooperation to provide the most timely treatment for you and your children. 

This consent to treat expires at the end of treatment or if revoked in writing.