Skip to content
  • Want more info?
  • Contact
  • Areas of Specialization
  • Location
  • Counseling Rates and Scheduling
  • Forms
Elizabeth Hadley LMFT
  • Want more info?
  • Contact
  • Areas of Specialization
  • Location
  • Counseling Rates and Scheduling
  • Forms

Client Consent to Treatment


Client Consent to Treatment:


I have carefully read and understand this statement. I have been given a copy of Elizabeth Hadley’s Professional Disclosure Statement and had it explained to me by Elizabeth Hadley. I understand the limits to confidentiality required by law. I understand my rights and responsibilities as a client, and my therapist's responsibilities to me. I agree to undertake therapy with Elizabeth Hadley. I may end therapy at any time and refuse any requests or suggestions made by Elizabeth Hadley. I have been provided with a copy of this form. I have had the opportunity to ask questions and have received needed clarification.

Start signing your signature here

Your browser does not support e-Signature field.

Start signing your signature here

Your browser does not support e-Signature field.

Start signing your signature here

Your browser does not support e-Signature field.

I/we agree to pay the following rate per session:

© 2022 Elizabeth Hadley LMFT. Created for free using WordPress and Colibri