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Consent to Treatment of an Adolescent Mobile App

The Consent to Treatment of an Adolescent app is designed to be used in therapy and counseling practices. The app makes it easy for patients and therapists to complete and sign a Consent to Treatment of an Adolescent. This app can be made HIPAA compliant to ensure patient privacy. GoCanvas reduce errors from transcribing paper forms.

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  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Consent to Treatment of an Adolescent Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Name of adolescent client:

  • Ico statictext

    The therapist named below and I have discussed my child’s situation.

  • Ico checkbox

    Behavioral Therapy

  • Ico checkbox

    Cognitive Therapy

  • Ico checkbox

    Family Therapy

  • Ico checkbox

    ACT

  • Ico checkbox

    REBT

  • Ico checkbox

    Insight-Oriented Therapy

  • Ico checkbox

    Other

  • Ico textbox

    Other

  • Ico statictext

    These actions and methods are for the purposes of:

  • Ico statictext

    Improvement of symptoms, improvement of individual functioning, improvement of family functioning...

  • Ico statictext

    I have had the chance to discuss all of these issues, have had my questions answered, and believe...

  • Ico signature

    Signature of parent/guardian

  • Ico date

    Date

  • Ico statictext

    I, the therapist, have discussed the issues above with the child’s parent or guardian.

  • Ico signature

    Signature of therapist

  • Ico date

    Date

  • Ico statictext

    This is a strictly confidential patient medical record.

  • ...and More!

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