Ensure your private practice or agency remains compliant while fostering the next generation of therapists. This Graduate Intern Therapy and Video Consent Form is a foundational tool for any supervisor or student looking to maintain high ethical standards and clear communication with clients.
In the clinical world, transparency is paramount. This document provides a professional framework for clients to understand the supervision process, ensuring they are fully informed about:
Student Status Disclosure: Clearly communicates that the provider is a Graduate Intern practicing under supervision.
Educational Recording: Provides specific authorization for video/audio recording intended for supervision and skill development.
Confidentiality Protocols: Outlines how recordings are stored, reviewed, and destroyed according to HIPAA and ethical guidelines.
Fully Customizable: Tailor the language to fit your specific practice name, supervisor credentials, and state-specific board requirements.
Professional Verbiage: Drafted with clinical expertise to ensure the tone is both welcoming to the client and protective of the practice.
Instant Digital Download: Receive your file immediately and integrate it into your onboarding packet today.
Compatibility: Easily editable in standard word processing software.
Expert Disclaimer: While this form covers standard educational requirements, please ensure you cross-reference with your specific legal support, State Licensing Board, and Professional Association (APA, NASW, ACA) to include any mandatory local verbiage or jurisdiction-specific disclosures.