Name *

First Name

Last Name

CLIENT RESPONSIBLILITY *

Cancellation Policy: There is a 24 hour cancellation policy. If you paid in advance, you will be issued a full refund or may use payment to reschedule a new appointment time. If you are cancelling under the 24 hour window you will still be charged the full session price of $50. Exceptions may be made for emergencies + other extenuating circumstances.

I have read, understand and agree to the terms above.

LIABILITY RELEASE *

"Inspire Growth" provides counseling services that are faith-based and not intended to replace licensed mental health care. I, Danielle Lindwall, am not a licensed counselor. My role is to support, encouragement, practical therapeutic tools, and guidance based on biblical principles. ACKNOWLEDGEMENT of Non-Licensed Counseling: 1. I am receiving counseling services from a non-licensed counselor and fully understand that these services are not a substitute for licensed mental health care. 2. I understand that "Inspire Growth" is not liable for any outcome related to my participation in these sessions. 3. I agree not hold Danielle Lindwall or "Inspire growth" responsible for any decisions or actions I may take based on the guidance received during counseling sessions.

I have read, understand and agree to the terms above.