This agreement is to be signed by the client before commencement of therapy.
Please read the following information carefully before signing below. If there is anything that you are unsure of please ask before signing:
CONSENT
You agree to be at this therapy session. You were not forced or cajoled to be here.
CONFIDENTIALITY
Everything discussed in the sessions is confidential except:
- For supervision purposes
- Where, in the counsellor’s opinion, there may be a danger to yourself or to others
- It is required in any court of law
Supervision sessions are to ensure that the counselee is receiving the support and guidance they need and to ensure that the counsellor is working ethically and competently. When the counsellor discusses the work being done with the counselee, identifying details or distinguishing features will be altered to keep the counselee’s identity anonymous.
You agree that the counsellor will not be held liable for any disclosure arising from counselling sessions, whether physical or virtual as a result of the exceptions above and/or information divulged by counselee.
FREQUENCY, CANCELLATION AND LENGTH OF SESSIONS
Sessions are 60 minutes long, but you are free to leave whenever you want. We would normally meet weekly, from Mondays to Fridays in between 10am and 2pm.
We will review the work that we are doing at one of the sessions, giving us both a chance to assess how the counselling is working out. If you did decide to stop coming for counselling we would like to be told and, if possible, for us to have an ending session.
We will require 24 hours’ notice in advance if you cannot make a session, or as soon as possible in exceptional circumstances. We will follow the same procedure if we need to cancel a session too. A full fee is payable if a session is missed without prior notice.
BOUNDARIES FOR COUNSELLING:
Abusive or threatening behaviour by the counsellor or counselee is not acceptable. The counsellor reserves the right to withdraw services the counselee becomes abusive or threatening.
It is not acceptable to attend counselling sessions whilst under the influence of drink or drugs or to harm yourself in any way during the sessions. We would need to be informed if you are prescribed any medication.
We do not usually work with a client who is seeing another therapist, if you did see someone else this is something that we would need to know about and that we could discuss.
FINANCIAL AGREEMENT
The cost of sessions is agreed and you understand that you will pay for additional counselling time after the first 15 extra minutes. You will also pay for cancelled sessions without a 24 hours prior notice.
