The following informs you of the policies and practices of Gabrielle K. Keenum, MA, LPC, NCC. Please read the information carefully and if you have questions, please ask.
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A goal of this business is to provide you with quality counseling and coaching services. However, one cannot guarantee that counseling services will be effective for you.
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Mrs. Keenum has a Master’s degree and is a Licensed Professional Counselor in the state of Texas, as well as a National Certified Counselor. In order to maintain a high standard of competence, she adheres to professional, legal, ethical and moral standards of her Licensing Board as well as the American Association of Christian Counselors.
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Counseling is based on your presence here and talking honestly with your counselor. You may encounter troubling emotions in the course of my counseling, but you can expect to be heard and accepted as a human
being of value and worth.
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There is no warranty or guarantee to a result or a cure.
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Mrs. Keenum can terminate service for noncompliance with the plan of care, failure to keep appointments, violent behavior, threats of violence or involvement in criminal behavior.
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Carrying of concealed weapons on the premises of the counseling practice is expressly forbidden. The counselee agrees not to bring any weapons into the building housing this practice.
I have read and fully understand the statements in this document and the policies stated regarding counseling. I am giving my consent to Gabrielle K. Keenum, MA, LPC, NCC to provide professional counseling services, including assessment and treatment. I will be provided a copy of this form at my request.