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Ashley Gross, MA Consent form
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Ashley Gross, MA Consent form
Informed Consent_Gross
Education and Credentials
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I agree to the Informed Consent
My name is Ashley Gross. I hold a Bachelor’s degree in Neuroscience and two minors in Psychology and Criminology from the University of Scranton and a Masters of Arts in Clinical Forensic Psychology with a concentration in Victimology from John Jay College. Currently, I am a Clinical Psychology Doctoral student at La Salle University, and not a Pennsylvania Licensed Therapist or Licensed Psychologist. While I complete the education, hours, and experience necessary for my license, I am under clinical supervision by Dr. John Kuna, PsyD. (570-961-3361 or John.kuna@drjohngkuna.com).
Counseling involves a relationship between the counselor and client, so if at any time you feel this is not the best fit for you, I will work to transition you to someone else and/or provide you with a referral to another provider.
Client / Parent Name
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