Video Taping / Recording PolicyPlease enable JavaScript in your browser to complete this form.VIDEO TAPING/RECORDING POLICY Family Connections, LLC does not consent to any video/tape recording of meetings or sessions. We ask that all clients, during any and all interactions, via phone, telehealth or in person not record/tape any interactions unless expressly given permission by the Clinician. Any violation of this policy will result in automatic termination from services. I understand and agree to abide by the Family Connections policy regarding videotaping/recording of sessions, meetings, or phone calls. *Printed Name of Guardian / Parent *Signature of Guardian / Parent Clear Signature DateClinician *Signature of Witness Clear Signature Date (copy)Printed Name of Client (copy) (copy) *Signature of Client (copy) (copy) Clear Signature Date (copy) (copy)Submit