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Program Contract
01
Initial Contact
02
Program Contract
03
Waiver of Confidentiality
04
Program Policy
As a client of Affordable Counseling and Educational Services
I understand that:
I am aware that I must attend each session free of the influence of alcohol and drugs and sign a statement regarding such. (See attached).
I am aware there is no requirement for concurrent couple or family therapy OR both while in the program.
I am aware that the program will make an initial determination of program benefits at the time of intake for my inclusion in the program, but also on on-going assessment of program benefit for the client. If it is determined the client's not making satisfactory progress in the program or is detrimental to the other group members, they may be terminated and referred back to the court for review and referral elsewhere
I understand that groups are confidential and I am not to divulge the identities of participants or identifying information about them outside of the group. To do so could jeopardize my standing in the program and expose me court/probation sanctions. (See attached statement of Confidentiality).
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