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Consent To Record Client Contact

The document outlines the consent for recording client contact during supervised counseling practice at the University of North Carolina at Pembroke. It explains the purpose of recordings for improving services and training, while ensuring confidentiality with specific exceptions. Clients have the option to decline recording without penalty and can contact Dr. Nicole Stargell for any questions.

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Laura McAliley
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19 views1 page

Consent To Record Client Contact

The document outlines the consent for recording client contact during supervised counseling practice at the University of North Carolina at Pembroke. It explains the purpose of recordings for improving services and training, while ensuring confidentiality with specific exceptions. Clients have the option to decline recording without penalty and can contact Dr. Nicole Stargell for any questions.

Uploaded by

Laura McAliley
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Consent to Record Client Contact

UNIVERSITY OF NORTH CAROLINA at PEMBROKE


School of Education, Department of Counseling
Post Office Box 1510 Pembroke, NC 28372
The field placement experience is a period of supervised practice in which graduate
students observe and practice individual and group counseling, as well as other
counseling-related activities. Students are supervised by site staff and also attend
instructional sessions on the campus of UNC Pembroke.
Recordings can be an effective teaching and learning tool. Recordings are used to improve the
services you (or your child) receive and to facilitate the skill development and training of the
student counselor. The recordings are reviewed by site staff, university staff and other
counselors in-training.
These recordings and the content therein, are held in the highest confidence.
Exceptions/Limitations to this confidentiality include the following situations that are also
included in traditional counseling services informed consent:
You direct me, in writing, to discuss your case with someone else.
You are deemed to be a threat to yourself or someone else.
A court order directs me to disclose your information.
If the abuse of a child or elderly person is indicated.
Any other use of these recordings requires your express written consent. Recordings are
ethically stored and permanently destroyed after supervision. By signing this form, you are
giving permission to have the sessions involving you or your child and the counselor-in-
training video or audio recorded. Recording is completely voluntary. If you decide that you
do not want to be recorded, you will not be penalized and you will continue to receive
services.
If you have any questions or concerns please contact Dr. Nicole Stargell at 910-521-6898

I, (client/student name), understand the above

conditions and agree to be recorded by (Counselor-in-

Training).

Client or Guardian Date_________

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