Counselee Release

I give my permission for __________________________ (counselor's name) to use this counseling session (or sessions) with me for the purpose of my counselor's BIBLE Counseling certification. I understand that the only people who will see/hear this material will be the certification staff of Open Arms Internet Ministry (OAIM). This material will be considered confidential and will not be used for any other purpose. The name of the counselee will in no way be shared with anyone other than the certification staff of OAIM. Sessions may be submitted in text format (if online counseling) or in audio format (if face-to-face counseling).

_____________________________
counselee's signature

_____________________________
date