We are required to obtain informed consent from the student’s parent or legal guardian. If you have guardianship papers on file, please submit them to us at the end of this form. If we do not have the correct name and contact information for the parent or guardian, it may cause a delay in service.
Referral agents from schools may not have this information available. Christian Family Solutions staff will contact the parent or guardian to obtain their payment information. For students with commercial insurance or an inability to pay, Christian Family Solutions will provide an initial set of counseling sessions at no cost through our Teen Counseling Endowment Funds.
To protect privacy, all of the information you have entered is encrypted and stored securely. After you submit this information, a Christian Family Solutions representative will contact the student’s parent or guardian to obtain informed consent and then an appointment will be scheduled.