Selby counselling

Sandra Lock, Counsellor / Psychotherapist

Copy of Counselling Agreement which clients will be given to read and sign before counselling can commence.

Client :-

Duration of session: Each session will last fifty minutes from the time allocated to you. The number of counselling sessions will be agreed with you. Counselling is different for every-one and therefore there is no restriction on sessions. Reviews will take place every 3 weeks to ensure that your expectations are been met and if not further consultation takes place as to why not and possible referrals mentioned if necessary...

Cost of counselling:              Cost of first session..........................................................

Cost of further sessions.                     ...............................................................................

Confidentiality:  What we discuss during your counselling session is confidential.  All counsellors receive professional supervision which is focused on our counselling work but no client is ever identified to their supervisor.

I am a member of the BACP which is the association for counsellors and physiotherapists this is a lengthy document which I have a copy of, if you require. It ensures that I practice within their boundaries and protects both of us. The only time I may break confidentiality is if I believe you are a danger to yourself or others. I am also bound by the 1989 Child Protection Act and the amended 2006 Act, it is with regard to this act that any child under 16 years of age will not be seen, unless accompanied by a parent/carer and a consent form is signed by the adult with care.

Any notes that I make and any personal information is kept in a safe place and is not to be shared with others unless the client approves of this. 

It is the client’s responsibility to arrive on time and in a fit state i.e. No drugs, alcohol induced behaviour will be accepted.

Referrals and endings will be discussed together to a mutual and natural progression in ending our counselling sessions.  Cancellations with less than 48 hours notice: Full session will be charged for.

I UNDERSTAND AND ABIDE BY THIS AGREEMENT

CLIENT....................................                                                             Date..........................

COUNSELLOR..................................................                                    Date...........................

PARENT/CARER CONSENT…………………………..                                    Date…………………………