FORM CODE CF16-FUS

Calayan Educational Foundation, Inc. FORM NAME Follow-up Session

GUIDANCE CENTER PREPARED BY Guidance Center
REVISION NO. 0
EFFECTIVE DATE March 2024

FOLLOW –UP SESSION

Client Name: ________________________________________________Date of Follow-up: _____________ Follow-up No.____

Hello, ______________________________________________________!
How are you today?

I am writing you this letter as a follow-up for our next counseling session on _________________________________,_______.
month day year time

Previously, our counseling session should happen on _________________________________,_______.

month day year time
However, we have not met on that schedule.

As mentioned on your signed informed consent, two (2) consecutive missed appointments without 24-hour prior notification may
result in the termination of the counseling session, and we will provide you with referrals on seeking mental health services that
will be much accessible for your mental health care needs.

If you have any inquiries about your counseling session, you may contact us on CEFI Guidance Center Facebook Account.
https://www.facebook.com/guidance.cefi.3

Thank you and see you soon.

Zedric A. Lorzano, RGC, RPm, CHRA

Attending Counselor

Noted:

Sarah Catrina D. Portes, PhD, RGC, LPT

Guidance Director

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