Trauma Counseling Therapy Session Observation Consent Form
Please complete this form to provide consent for observation of a trauma counseling therapy session. All information requested is necessary for the observation process.
Full Name of Person Being Observed
*
First Name
Last Name
Full Name of Observer
*
First Name
Last Name
Observer's Role or Relationship
*
Date of Session
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Session
*
Hour Minutes
AM
PM
AM/PM Option
Session Location
*
Purpose of Observation
*
Additional Notes or Comments
Signature of Person Giving Consent
*
Submit Consent
Submit Consent
Should be Empty: