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Recording Consent Form

The Drake University Counseling Program requires counseling practicum students to record counseling sessions with clients for educational purposes. The recordings will be viewed by supervisors and shared with other students to provide feedback and improve counseling skills. All recordings will be kept confidential and destroyed at the end of each academic term for client privacy. This document provides consent for a counseling practicum student, Emily James, to record counseling sessions with a client's child for training purposes only.

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385 views1 page

Recording Consent Form

The Drake University Counseling Program requires counseling practicum students to record counseling sessions with clients for educational purposes. The recordings will be viewed by supervisors and shared with other students to provide feedback and improve counseling skills. All recordings will be kept confidential and destroyed at the end of each academic term for client privacy. This document provides consent for a counseling practicum student, Emily James, to record counseling sessions with a client's child for training purposes only.

Uploaded by

000766401
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
Download as docx, pdf, or txt
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DRAKE UNIVERSITY

Counseling Program
Consent to Interview and Record
The Counseling Program at Drake University requires Counseling Practicum Students to record
counseling sessions with students/clients/consumers for the purpose of evaluating and
improving their counseling skills. All recordings will be kept confidential. The recordings will be
viewed by the Counseling Practicum Students supervisor and parts of some sessions may be
shared with other Counseling Practicum Students for the purpose of providing feedback.
Recordings of session are made for educational and training purposes for Counseling Practicum
Students. The recordings are in no way part of any records at the school or agency where you
or your child is a student/client/consumer. At the end of each academic term all recordings will
be destroyed.
I give permission for Emily James to record counseling sessions with my student/child for
training purposes. I understand that recordings will be kept confidential and that they will be
destroyed at the end of the academic term (May of 2016). I also understand that I can choose to
withdraw my student from these sessions at any time.

______________________________________________
Print Name Student/Client/Consumer

______________________________________________
Print Name Parent or Guardian if Student/Client/Consumer is under 18

______________________________________________
Signature Parent or Guardian Date

____________

______________________________________________
Signature of Counseling Practicum Student Date

____________

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