Andy Anderson, M.A., LPC, KPMT
Parenting and Child Conduct Counseling
(636) 674-9583
Current Client Forms
"Whether you're a new or current client, we've made it easy for you to complete any necessary paperwork or assessments from the comfort of your own home. Our online resources are designed to help you fulfill any requirements quickly and conveniently. If you have any questions or concerns about these requirements, please don't hesitate to contact us directly. We're here to help."
Current Clients
Informed Consent
Our Informed Consent provides essential information to clients, parents, or legal guardians about their rights and responsibilities in the counseling relationship. It outlines the counselor's responsibilities regarding confidentiality, record-keeping, diagnosis, and managed mental health care.
The purpose of obtaining written consent is to ensure that clients and their parents or legal guardians fully understand the terms of the counseling relationship and agree to participate in treatment. The document also explains the legal exceptions to confidentiality and the client's right to access their file anytime. You are asked to complete the Informed Consent form by clicking on the button below to acknowledge that you understand and agree to the terms outlined in the document.
The Informed Consent includes two sections. The first section contains general consent which permits the provider to treat the client. All new clients must sign this section before they can receive treatment.
The second section specifies the terms and conditions of court work, including appearances at court, travel time, depositions, phone calls, and other related work. Clients must only sign this section if they need the provider to perform court work. The fee for court work is $150 per hour and is not reimbursable through insurance.
Your counselor may request current clients to sign this form periodically.
Authorization to Exchange Information Health-Education
Your counselor may need to talk to another adult who interacts with your child, such as a teacher or mental health professional, in order to gain a better understanding of how to provide effective therapy. If your counselor requests your permission to do so, you can grant permission by clicking the button below.