Paperwork wordmark over the Glaton House, home of the Marriage, Family & Therapy Center.

Informed Consent

Informed Consent for therapy
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Haga clic aquí para evaluaciones en español

The Auburn University Marriage and Family Therapy Center (MFT Center) is operating under alternate operations in response to COVID-19 as recommended by Auburn University until further notice. Our desire is to continue serving your mental and relational health needs, to the extent possible, throughout this process. For this purpose, we have Technology Assisted Family Therapy Services (TAFTS) available to serve our ongoing and new clients.

The Informed Consent contains the following information:

  1. Information about the training requirements for therapists-in-training
  2. The teleconference platform used to offer TAFTS
  3. Information about Electronic Medical Records, and Email Communication
  4. Policies about appropriate communication with therapists
  5. The limits of Confidentiality
  6. Clinical Change and Research
  7. Expected Benefits and Possible Risks of TAFTS
  8. Payment Agreements
  9. TAFTS Safety Plan

Safety Plan
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Safety planning is an essential component of competent and ethical teletherapy practice. Safety planning involves identifying steps and procedures for addressing situations that present a risk to the safety of clients and other persons, such as family members, during the course of teletherapy services.

Your exact location will be requested at the beginning of each session. This is essential because therapy at a distance poses difficulties in addressing client safety when there is a crisis. Your exact location helps us identify emergency services or referrals are needed. Your therapist will review and revise the safety plan, as needed, prior to ending every teletherapy session.

At the end of each visit your therapist will scheduling their next appointment, providing payment information, help with completing assessments, etc.). The therapist should also ask about your experience in the TAFT session, what worked for you, and what didn’t work. The goal is to collaborate as therapy is technology assisted.

 

 

New Client Paperwork

New Client Paperwork
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Instructions:
PLEASE ARRIVE 45 MINUTES prior to your scheduled session to complete the paperwork at the center OR PRINT OFF the paperwork below and bring completed paperwork to your scheduled session.

NOTE: If you forget to bring your completed paperwork, you will be required to complete the paperwork in the lobby before seeing the therapist. However, this time will be counted towards your first 50 minute session.

Paperwork:
Each client should fill out ONE of the following:

If you are coming to therapy with your partner or on your own but are in a committed relationship, please fill out the “committed relationship” paperwork. If you are bringing your child, fill out the “family adult” paperwork. Adolescents will fill out “family adolescent” paperwork. Single adults will fill out “single adult” paperwork.

 

 

 

Weekly BEFORE and AFTER Session Reports
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Current Clients Paperwork
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Instructions:
Paperwork must be filled out every 4th session (i.e., 1st, 4th, 8th, 12th, etc...)

PLEASE ARRIVE 45 MINUTES prior to your scheduled session to complete the paperwork at the center OR PRINT OFF the paperwork below and bring completed paperwork to your scheduled session.

NOTE: If you forget to bring your completed paperwork, you will be required to complete the paperwork in the lobby before seeing the therapist. However, this time will be counted towards your first 50 minute session.

Paperwork (Current Clients Only):
Each client should fill out ONE of the following (choose paperwork that fits why you are coming in for therapy)