Intern Consent Form

Anonymous's picture

By signing the following document electronically, it is to be the legally binding equivalent of your individual handwritten signature. 


holds a temporary license from the State of Texas.

He/She is working towards obtaining the required 3,000 hours to hold a professional licensure.  He/She practices as an Intern.  By signing this document you acknowledge that you have been informed of the intern status of your counselor.  You also agree to allow your counselor to confer with his or her supervisor and director regarding your case for the purpose of professional training.  Should you have any questions or concerns regarding the issue, please promptly discuss with your counselor. 


If you are a licensed counselor, a counselor intern or interested in individual or group supervision and would like to join our team, please contact us.

Meredith Akin-Ivey, is a Licensed Professional Counselor-Supervisor and a Registered Play Therapist- Supervisor.  Please E-mail or call her for more details.

Follow Us On:

Get in touch

Compassion Counseling
2214 Michigan Ave
Suite F
Arlington, Texas

Phone: (817) 723-1210

Fax: (866) 776-5116

Our Specialities

At Compassion, our counselors have experience counseling a variety of issues including but not limited to: adoption, anxiety, abuse, body image, depression, couples, faith, families, grief, play therapy, parenting, teens, trauma, christian sex therapy, and self-esteem. Please call our office for more information regarding each counselor's specialty.