Art Therapy Informed Consent Form

WHAT IS ART THERAPY

Art therapy uses the creative process of art media in order to help the artist explore his inner feelings. This helps in stimulating one's self-awareness and manage behavior, and improvement in self-esteem. Sessions in art therapy also help you gain knowledge of the art. It is, however, best if the participant has certain knowledge in various art forms such as drawing, painting, drawing, painting, sculpture, and others.

RISKS, EXPECTATIONS, AND BENEFITS

Just like any therapy, you may find yourself in a difficult situation in discussing your emotions and may have uncomfortable feelings recalling painful memories. This is part of your journey. The key here is you have to be truthful in sharing with your therapist.

Art therapy intends to help one's self analyze how they feel through their artwork. Art helps to reveal one's emotions or shows his or her behavior, thoughts, or emotions.  Given its effects, some suggest that this kind of therapy helps boost one's mental health. However, there is no guarantee that this will be the same for everyone.

Art therapy is like counseling and does not require participants to have artistic skills to participate. Given its nature, this should be understood as a collaborative effort. Anyone can join from children up to adults.

CONFIDENTIALITY

We respect the privacy and confidentiality of every participant. We practice the protection of information of each and every participant, in accordance with the Health Insurance Portability and Accountability Act (HIPAA). This means all notes and clinical records, documents, and data, including artwork will be considered confidential and will not be disclosed to anyone unless the participant or the participant's legal guardian provides written consent and while it is within the scope of the law.

SCHEDULE AND TERMS OF PAYMENT

We have various terms of payment that a participant can choose from:

1. Monthly
2. Weekly
3. Per Session

To schedule an appointment you can call 594-303-3303. For canceling an appointment, you can call the same number but make sure to call at least 24 hours before notice. Otherwise, you might get charged for the full amount of the said session.

COMPLAINTS, QUESTIONS, OR OTHER CONCERNS

If you believe that your counsel or therapist overstepped on your rights, and you are not comfortable discussing this with your therapist or counsel, you can get in touch with us at 594-303-3303.

You can also visit www.hhs.gov/ocr/hippa/ or call 1-866-627-7748 if you wish to file a formal complaint.

CONSENT

I have read the information or it has been read to me and I understand the information stated above. I understand the potential risks, benefits, my rights in participating in this form of therapy. I have had the opportunity to ask questions and the answers were discussed to me clearly, understandably, and to my satisfaction.