Preferred Pronouns

Phone

Email

Mailing Address

Child/Student's Name

Child/Student's DOB

What topics would you like addressed in the Career Zen meetings?

What are your expectations of my work with your child/student?

Is there anything else you'd like me to know about your child/student?

I consent to my child/student receiving consultation services with Career Zen, which are educational in nature and not therapy. I understand that these services aim to provide guidance for my child/student's academic and career development. I understand that Dr Lynn Chang of Career Zen is not offering counseling or psychological services. Instead the focus is on providing information and tools to advance academic and career goals. These meetings do not take the place of formal counseling or psychotherapy. The nature of this relationship is not therapeutic in that Dr Lynn Chang of Career Zen will not attempt to describe, explain, or ameliorate behavior; nor will she attempt to evaluate, prevent, or remediate psychological, emotional, mental, interpersonal, learning, or behavioral disorders or psychological disorders that accompany medical problems, organizational structure, stress, or health.

PARENTAL CONSENT FORM