About this template
Running successful group therapy sessions requires clear boundaries, mutual trust, and absolute clarity regarding confidentiality. This Group Therapy Informed Consent Form template helps licensed therapists, facilitators, and mental health counselors outline the structure, goals, potential risks, and privacy limitations of group sessions before a client's first meeting.
Collecting informed consent digitally ensures that every participant reads and acknowledges critical session policies—such as peer confidentiality and attendance expectations—before treatment begins. By moving your intake process to Doc2Form, you eliminate cumbersome paper forms, secure digital acknowledgments, and maintain organized participant records without messy filing cabinets. Customize the terms to match your specific practice guidelines, add emergency contact details, and gather all necessary acknowledgments seamlessly.
Key features
- Secure clear participant acknowledgment of group privacy and confidentiality rules.
- Outline session expectations, potential risks, and therapeutic benefits clearly.
- Collect digital signatures and date stamps effortlessly.
- Streamline intake workflows for multi-client counseling programs.
- Fully customizable to fit specific clinical practices and group types.
Use cases
Intake and onboarding for weekly support groups and psychoeducational…
Intake and onboarding for weekly support groups and psychoeducational workshops.
Consent documentation for adolescent or adult specialized therapy coh…
Consent documentation for adolescent or adult specialized therapy cohorts.
Virtual or in-person mental health counseling program enrollments.
Substance abuse recovery and relapse prevention group orientation.
What this form collects
- Participant Full Name (Short answer)Enter your first and last name.
- Date of Birth (Date)Enter your date of birth (MM/DD/YYYY).
- Email Address (Short answer)Provide a secure email address where we can reach you regarding group schedules.
- Phone Number (Short answer)Enter your primary contact number.
- Emergency Contact Name and Relationship (Short answer)Provide the name and relationship of someone we can contact in case of an emergency during or around session times.
- Emergency Contact Phone Number (Short answer)Enter the phone number for your emergency contact.
- Confidentiality Agreement (Multiple choice)Group therapy relies on mutual trust. Do you agree to maintain the strict confidentiality of all personal information, stories, and identities shared by fellow group members?
- Understanding of Group Risks and Benefits (Multiple choice)Group therapy offers shared support and diverse perspectives, but may also involve discussing sensitive topics that can evoke strong emotions. Do you acknowledge these dynamics?
- Attendance and Cancellation Policy (Multiple choice)Consistent attendance is vital for group cohesion. Do you understand and agree to adhere to our attendance and notice requirements for absences?
- Client Informed Consent Acknowledgment (Short answer)By typing your full legal name below, you confirm that you have read, understood, and voluntarily agree to the terms of group therapy participation outlined above.
- Consent Date (Date)Select today's date.
- Facilitator Full Name (Short answer)Name of the licensed therapist or group facilitator leading the session.
- Facilitator Acknowledgment Date (Date)Enter the date the facilitator reviewed and accepted this consent.
FAQ
Why is a group therapy informed consent form necessary?
It ensures participants understand the unique nature of group settings—particularly the limits of confidentiality among peers—and explicitly agrees to the practice's ground rules before sessions commence.
Can I customize the terms and policies in this template?
Yes. Once the template is generated in your Google Forms account, you can freely edit, add, or remove any sections to align with your clinical practice standards.
How do clients sign the form digitally?
Clients can type their full name and submit the form electronically to confirm their agreement, or use integrated signature tools available within your Google Workspace setup.
Is this form suitable for online or telehealth group therapy?
Absolutely. It works seamlessly for both in-person clinics and remote telehealth programs, allowing clients to review and submit their consent online prior to joining.
How does Doc2Form help me manage submissions?
Doc2Form instantly creates the form in your Google Drive. All responses automatically populate a secure Google Sheet, making it easy to track completed consents and archive client records.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.