Psychotherapy Verification: Final Hours

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To be completed by the therapist.

This form will be routed to the student and then to the Academics Office at The Seattle School of Theology and Psychology. STUDENTS: please review the form when it is sent to you via email and click "approve" in order to submit it to the Academics Office. For questions please email academics@theseattleschool.edu

Note: No case notes, diagnosis, etc. shall be shared with the school by the therapist. Only this completed form is required.

Email *

Student Name *

Student Email Address *

Number of hours completed by student *

Please note: This form must demonstrate at least 40 hours completed within an 18-month period.

Time frame (i.e. January 3, 2021-June 3 2022) *

Please note: This form must demonstrate at least 40 hours completed within an 18-month period.

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