Informed Consent for Audio Recording

O’Leary Counseling requests your permission to record our counseling session(s) on audio file(s). The purpose of this recording is to help serve you better and to review and evaluate counseling techniques. No recording will be done without your prior knowledge and consent. Listeners of the audio file(s) may include my supervisors, interns, and therapists in group supervision class. All listeners of the audio file(s) are bound by the ethical standards of the American Counseling Association. The audio file(s) will be treated with confidentiality by being stored on a password protected computer and will be destroyed after it is used for training purposes.

By checking the box below, I am stating that I have read and understood the Informed Consent for Audio Recording and that I am permitting O’Leary Counseling to audio record my session(s) and review the audio file(s) with the aforementioned individuals for supervision and training purposes.