Student-Counselor Agreement

STUDENT ASSISTANCE SERVICES An Alcohol and Drug Abuse Prevention Agency 660 White Plains Road Tarrytown, New York 10591

Ellen R. Morehouse, LCSW, CASAC, CPP 914) 332-1300

Executive Director FAX: (914) 366-8826

E-Mail: [email protected] Website: www.sascorp.org

STUDENT-COUNSELOR AGREEMENT

Student Assistance is a voluntary program. If it is your wish that we work

together, then we have to understand each other, and come to some agreement

regarding the areas in which we should be working. You must know that short of

issues that I consider life threatening, anything you tell me will be kept in strictest

confidence unless you give me permission to share it. In return for my giving it my

"best shot", I will expect you to do the same, keeping appointments regularly and

respecting our time together.

Should we find that our work is done or that we are not able to work together,

or that you no longer wish to continue, we will discuss and decide together that our

sessions should be discontinued.

Student Assistance / Project SUCCESS Counselor

Affili ate of

SAS is a contract agency of the Westchester County Dept. of Community Mental Health, Office of Drug Abuse Prevention & STOP-DWI, and Youth Bureau. OASAS Patient Advocacy 1-800-553-5790