New Client Information

Before your sessions start, there is some information that I need from you, as well as some in and outs of therapy that I'd like you to be aware of.

Doing this beforehand allows us to spend more time in our first meeting getting to know each other and thinking about what might be helpful for you. However, if you don't feel sure about providing particular bits of information, or there are parts of the therapy agreement that you would like to talk to me about, I'm more than happy for us to do that when we meet too. If that's the case, please leave  the relevant parts blank and we'll come back to it.

Were you adopted as a child? (there are particular rules about providing therapy to people who have been adopted that I will talk you through)

Terms of Therapy

Ethical Framework

I am a member of British Associations for Counselling and Psychotherapy (BACP) and work in line with their Ethical Framework. You can find this on their website. 

Confidentiality

What you tell me will remain between us. The only exceptions to this are:

  • If I perceive a serious risk of harm to you or someone else.

  • Where the law requires it, for example, with terrorism, drug trafficking or money laundering. Sometimes I can be asked to give evidence in court. I ask that you let me know if you are currently involved in an ongoing or upcoming court case.

  • My clinical supervision, which is also bound by confidentiality and the BACP ethical framework.

  • In the event of my death or sudden illness, I have nominated a clinical executor who has access to client contact information for the sole purpose of informing you and offering alternate arrangements where possible.

  • If a third-party is paying for the sessions on the behalf of the client, the therapist’s contact with said third-party will be limited to the invoicing process.  

Fees

The fee per 50-minute session is £45. Unless we have agreed otherwise, fees are due by bank transfer before the session.

Please give me as much notice as you can if you need to rearrange or cancel a session.  If notice of non-attendance is not given by 6pm the day before the appointment, there is a fee of £20.

Data Protection and GDPR Information

What information I may hold

(1) Your Name & Address

(2) Your Contact Telephone numbers and Text Messages (sent/received)

(3) E-mail address and e-mail correspondence (sent/received)

(4) GP contact details

(5) Emergency Contact persons phone numbers

(6) Any brief notes that I may make

All data held by me is kept secured in line with data protection principles and UK law. More information on the data protection acts can be found on the ICO website - https://ico.org.uk/for-the-public/. More information on GDPR can be found here - https://ico.org.uk/for-organisations/guide-to-the-general-data-protection-regulation-gdpr/ 

 

By checking the box below, you confirm that you are fully aware of what data is being held and that you are happy for this data to be held in line with the GDPR, UK law and my retention policy. If at any point in the future you change your mind, you can withdraw consent at any time.

 

The Data held is never be shared with third parties except for reasons outlined in the confidentiality agreement.

 

Data Retention Policy

 

The schedule for retention and destruction of data held.

You have the right to request a copy of the data held or request any corrections that you feel are warranted. All requests received should be actioned within 28 days. I will check the validity of the request (to the best of my ability) to safeguard your data from misuse. Unless I am informed of changes in the data then you cannot be fully protected under the GDPR, but the data I hold will continue to be held in line with the GDPR.

 

If you have a concern about how your data is being handled, then you have the right to complain to the ICO (Information Commissioner’s Office) https://ico.org.uk/concerns/

Thanks for completing the form - I look forward to meeting you!