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Meaning & Purpose Counseling Informed Consent & Service Agreement Form

Name

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Phone Number

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Gmail ID

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Who is this service for?

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Name of the person receiving the service

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Informed Consent & Agreement This Consent & Agreement applies to all counseling, guidance, training, mentoring, workshops, programs, and online/offline services provided by Manojyoti Manodisha Counseling Centre.

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I have read and understood the Consent & Agreement of Manojyoti Manodisha Counseling Centre and agree to participate voluntarily without any coercion.

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I confirm that I am 18 years or older, OR I am submitting this form as a parent/legal guardian.

I agree to receive service-related communication via phone, WhatsApp, or email.

Signature

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Signature