{"id":112,"date":"2019-07-23T12:54:51","date_gmt":"2019-07-23T12:54:51","guid":{"rendered":"http:\/\/aimeemweavercounseling.com\/?page_id=112"},"modified":"2021-05-07T13:27:35","modified_gmt":"2021-05-07T13:27:35","slug":"pastoral-counseling-services-agreement","status":"publish","type":"page","link":"https:\/\/aimeemweavercounseling.com\/index.php\/pastoral-counseling-services-agreement\/","title":{"rendered":"Pastoral Counseling Services Agreement"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.26.3&#8243; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;0px||||false|false&#8221;][et_pb_row _builder_version=&#8221;3.26.3&#8243; custom_padding=&#8221;||||false|false&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.26.3&#8243;][et_pb_text _builder_version=&#8221;3.27.4&#8243; text_text_color=&#8221;#333333&#8243; custom_margin=&#8221;||-1px|||&#8221;]<\/p>\n<p>This agreement for pastoral counseling services shall govern all professional relations between the parties. It is agreed that any disputes or modifications of the agreement shall be negotiated directly between the parties, if negotiations are not satisfactory, then the parties agree to mediate any differences with a mutually acceptable third party mediator considering first either a pastor or other minister of the client or counselors church.\u00a0<\/p>\n<p><b>A. Counselor<\/b>\u00a0<br \/>Aimee M Weaver is an ordained minister of counseling through the National Christian Counseling Association. She is not a state-licensed therapist.<\/p>\n<p><b>B. Fee Policy<\/b> \u00a0 <br \/>The cost of a 60-minute counseling session is 100.00.\u00a0 Payments are expected to be made at the end of each counseling session.\u00a0 \u00a0<\/p>\n<p><b>C. Confidentiality Policy<\/b><br \/>All therapeutic communications and records will be held in strict confidence. Information may be released, in accordance with state law, only when\u00a0 1). Information may be released in accordance with state law when the client signs a written release of information indicating informed consent to such release.\u00a0 The client expresses serious intent 2.) The client expresses a serious intent to harm himself\/herself or someone else. 3.) There is evidence or reasonable suspicion of abuse against a minor child, elderly person, or a dependent adult. 4.) The policy of Aimee Weaver asserts either (privileged communication in the event of #4 or B. the right to consult with clients. If at all possible barring an emergency, before mandated disclosure in the event of #2 or #3. Although it cannot be guaranteed. It will be endeavored to inform clients of all mandated disclosures. Clients with any concerns or questions about this policy agree to raise them with the counselor at the earliest possible time to resolve them in the client\u2019s best interest.<\/p>\n<p><b>D. Waiver of Liability<\/b><br \/>THE UNDERSIGNED, having sought Biblical counseling such as is adhered to by The National Christian Counseling Association, a non-profit religious organization, hereby acknowledges his\/her understanding that counseling is provided in accordance with Biblical principles and are not necessarily provided in adherence to any local or national psychological or psychiatric association.\u00a0\u00a0<\/p>\n<p><strong>E. <\/strong><b>Service Agreement <\/b><br \/>I, the counseling client have read and fully understand this agreement and the stated policies.\u00a0 We agree to honor these policies, including the commitment to negotiate and mediate as stated above and will respect one another\u2019s views and differences in their outworking. We also agree to the fee and agree to pay at the time of counsel.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;3.27.4&#8243; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;0px||||false|false&#8221;]<\/p>\n\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_3' ><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_3' id='gform_3'  action='\/index.php\/wp-json\/wp\/v2\/pages\/112#gf_3'>\n                        <div class='gform_body'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below'><li id='field_3_5'  class='gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_3_5'>\n                            \n                            <span id='input_3_5_3_container' class='name_first' >\n                                                    <input type='text' name='input_5.3' id='input_3_5_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" placeholder='First'\/>\n                                                    <label for='input_3_5_3' class='hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_5_6_container' class='name_last' >\n                                                    <input type='text' name='input_5.6' id='input_3_5_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" placeholder='Last'\/>\n                                                    <label for='input_3_5_6' class='hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_3_7'  class='gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container ginput_container_email' id='input_3_7_container'>\n                                <span id='input_3_7_1_container' class='ginput_left'>\n                                    <input class='' type='text' name='input_7' id='input_3_7' value=''   placeholder='Email Address' aria-required=\"true\" aria-invalid=\"false\"\/>\n                                    <label for='input_3_7' class='hidden_sub_label screen-reader-text'>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_3_7_2_container' class='ginput_right'>\n                                    <input class='' type='text' name='input_7_2' id='input_3_7_2' value=''   placeholder='Confirm Email' aria-required=\"true\" aria-invalid=\"false\"\/>\n                                    <label for='input_3_7_2' class='hidden_sub_label screen-reader-text'>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id='field_3_6'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_6' >Date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_6' id='input_3_6' type='text' value='04\/25\/2026' class='datepicker medium mdy datepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby='input_3_6_date_format' \/>\n                            <span id='input_3_6_date_format' class='screen-reader-text'>Date Format: MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_6' class='gform_hidden' value='https:\/\/aimeemweavercounseling.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_3_4'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_4' >Client Signature<span class='gfield_required'>*<\/span><\/label><div ><div id='input_3_4_Container' class='gfield_signature_container ginput_container' style='height:180px; 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'1' : '');}); }} } );jQuery(document).bind('gform_post_conditional_logic', function(event, formId, fields, isInit){} );<\/script><script type='text\/javascript'> jQuery(document).ready(function(){jQuery(document).trigger('gform_post_render', [3, 1]) } ); <\/script>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.26.3&#8243; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;0px||||false|false&#8221;][et_pb_row _builder_version=&#8221;3.26.3&#8243; custom_padding=&#8221;||||false|false&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.26.3&#8243;][et_pb_text _builder_version=&#8221;3.27.4&#8243; text_text_color=&#8221;#333333&#8243; custom_margin=&#8221;||-1px|||&#8221;] This agreement for pastoral counseling services shall govern all professional relations between the parties. It is agreed that any disputes or modifications of the agreement shall be negotiated directly between the parties, if negotiations are not satisfactory, then the parties agree to mediate [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"_links":{"self":[{"href":"https:\/\/aimeemweavercounseling.com\/index.php\/wp-json\/wp\/v2\/pages\/112"}],"collection":[{"href":"https:\/\/aimeemweavercounseling.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/aimeemweavercounseling.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/aimeemweavercounseling.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/aimeemweavercounseling.com\/index.php\/wp-json\/wp\/v2\/comments?post=112"}],"version-history":[{"count":21,"href":"https:\/\/aimeemweavercounseling.com\/index.php\/wp-json\/wp\/v2\/pages\/112\/revisions"}],"predecessor-version":[{"id":423,"href":"https:\/\/aimeemweavercounseling.com\/index.php\/wp-json\/wp\/v2\/pages\/112\/revisions\/423"}],"wp:attachment":[{"href":"https:\/\/aimeemweavercounseling.com\/index.php\/wp-json\/wp\/v2\/media?parent=112"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}