Sample Counselling Contract
Counselling Agreement
Aim of Counselling: The
aim of counselling is to provide you with a confidential opportunity for you to
explore your thoughts and feelings in safety. My role is to help you
through this process without judgement or telling you what to do. I may
on occasions give information or offer suggestions. If at any time I feel
I cannot help you in this way, I will offer to refer you to someone who can.
Confidentiality: Our
work together remains confidential and I will not discuss what we talk about in
sessions outside of the sessions. If
however, I feel that either you or someone else were in danger or at risk of
harm I would discuss with you first the possibility of breaking
confidentiality. However, I retain the
right to break confidentiality without prior consultation with you should I
consider that the urgency of the situation requires me to act immediately to
safeguard the physical safety of yourself or others
Supervision: I am required to attended supervision in order to ensure that you receive
the best possible service. Any information the supervisor has about you
will be treated in confidence.
Ethical
Standards: I am a member of the British Association for Counselling and Psychotherapy and bound
by their ethical code of practice. These standards are available at www.bacp.co.uk
Sessions: Sessions
last 1 hour and will be every week at a day and time suitable to you. If
for any reason I have to cancel a session I will aim to provide you with 48
hours notice, you will not be charged for the session. Likewise I will
expect you to give me 48 hours notice if you are unable to attend. I
reserve the right to charge for a missed session where no or insufficient
notice is given.
Counselling Venue
please see address at the foot of this agreement
Number
of sessions / ending counselling: When therapy is
open-ended, as opposed to limited to 6 or 12 sessions it is important that
ending therapy is not sudden so we will regularly review progress to help
determine the duration of our work together. Once an end date is agreed I would anticipate
that we would have a minimum of 3 more sessions leading up to this date.
Re
contracting: This is the
opportunity to consider changes to this agreement that we negotiate and may
include changes in dates and times, frequency of sessions and continuing our therapeutic
Insurance: I
hold both public liability and professional indemnity insurance.
Cost - Session Fee £40.00
(Fees
are reviewed yearly and any changes take effect from 1st April).
Holidays: I will give a
minimum of 4 weeks notice of any planned holiday dates when I will be
unavailable. I require (where possible) at least 2 weeks from you of the same.
Complaints: Should
you wish to make a complaint about the service you have been offered please
contact the BACP at www.bacp.co.uk
If
there is anything you are not sure about please let me know.
Please complete
Name
..
Signed.........................................................................
Date...................................
Telephone
number
Email
.
GP
contact details:
GP
name
..
Surgery
name / number
..
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