Agreement *
I understand and agree that Creative Arts Therapy & Integrative Care (CREARTH) and Roselle P. O'Brien, LMHC, are providing psychotherapy and/or Expressive/Creative Arts Therapy to myself. I have received, read, and understand CREARTH's Policy Statement, Privacy Notice, and HIPAA Statement, and the REAT Code of Ethics. I have been provided with opportunities to ask questions about these policies. I understand that psychotherapy/Expressive/Creative Arts Therapy can be terminated by myself at any time. I understand that psychotherapy/Expressive/Creative Arts Therapy can be terminated by CREARTH/Roselle P. O'Brien, LMHC as per the CREARTH Policy Statement. By filling in the date, time, and signature below I am certifying that I have read, understand, and agree to all the aforementioned and that I am the client agreeing to receiving services from Creative Arts Therapy & Integrative Care (CREARTH)/Roselle P. O'Brien, LMHC.