Counseling Agreement for Sample PDI
In this section would be special information regarding the counseling process, confidentiality, reasons for terminating counseling, etc.
I, ______________________, have carefully read the conditions for counseling set forth in this document and agree to enter into counseling in accordance with them.
Signature: _______________________ Date: _____________________
I am filling out this PDI form on behalf of the counselee:
My name: ___________________________ Relationship: _______________________