Privacy Policy
Informed consent and agreement form
1. I am/we are assured that all information gathered during the provision of counselling/therapeutic services will remain confidential and secure and only known to my treating practitioner except where:
o Information is subpoenaed by a court, or
o Failure to disclose the information would place myself (the patient/client) or another person at serious and imminent risk; or
o Your prior approval has been obtained to
(i) provide a written report to another professional or agency e.g., a GP or a lawyer; or
(ii) discuss the material with another person, e.g., a teacher or employer;
(iii) if disclosure is otherwise required by the law.
2. I/We understand that my treating practitioner will fully explain and obtain my informed consent before any treatment procedure is employed in my case.
3. I/We understand that I/we can withdraw from treatment at any time without prejudicing future treatment here.
4. I/We have agreed upon consultation fees being payable on the day of appointment.
5. I/We understand that 24 hour’s notice is required if for some reason I need to cancel or postpone my appointment. Appointments which are not cancelled or are postponed with at least 24 hour’s notice, will be charged a partial fee which will be a minimum of half the cost of a consultation fee.
6. I/We understand that a cost may be incurred for tasks that occur out of your consultation session like; filling in of forms, writing of letters or reports, reading of a significant amount of documentation, reading and response to emails from you or on your behalf; and may be charged at a pro-rata rate.
7. Services may involve using interactive cloud-based systems (Zoom, Skype).
8. Any sharing of audio, video or other data communication for the purposes of supervision will only be undertaken with the client’s full knowledge and approval.
9. In the event of needing to lodge a formal complaint with the Australian Counselling Association (ACA), please visit: https://www.theaca.net.au/documents/ACA%20Complaints%20-%20Procedural%20Guidelines.pdf