Therapy Agreement

Client’s name:  ……………………………………         

This document sets out the basis of our agreement. It lets you know what you can expect from committing to therapy and sets out what is expected of you. 

Appointments

Your appointment will be at …….…… each…………..

The session will last for 50 minutes. If you're late or delayed it will not be possible to extend the session beyond the usual finishing time.

I am currently unable to offer double length or fortnightly sessions.

Cancellation

The time and day of your session is reserved for you and not available to anybody else. I charge a £30 retainer and admin fee for any missed session, unless it is cancelled within 48 hours then the full fee is payable. If I have sufficient notice of the cancellation and can reschedule, I will.

If for any reason you miss several or frequent sessions, we will need to discuss this. I am unable to guarantee/reserve a regular time for you if sessions are frequently missed.

If I am unable to attend you will not be charged and I will endeavour to give you as much notice as possible and/or try and rearrange the session for another time. I take off around 6-8 weeks a year so aim to be available for at least 44 weeks of the year for our sessions.

Ending

We have agreed that the sessions will continue on an open-ended basis. We will review our work at session 6 and decide whether you would like to continue therapy in an open ended way or bring our work to a close.

In some cases, therapy that ends abruptly can have a detrimental effect on the long-term impact of the work. We will therefore agree a finishing date between us as appropriate.

If we have worked together for longer than 12 months, I recommend a 6-session notice period before ending the work. For 12 months or less a 4-session notice period and for 3 months or less a 2-session notice period.

Venue

Sessions will take place online/face to face at ………….

Fees

Fees are payable in advance prior to the appointment via bank transfer. The agreed fee for each session is £75 payable weekly/monthly.

I review my fees yearly.

Personal information

Please provide your personal address, details of your GPs name and address. Please let me know if this alters or if you change your GP. I will retain this information only as long as our work together continues after which time it will be deleted.

Confidentiality

The contract between us is confidential. I will not disclose any information to a third party other than in the event that in my opinion there is a threat to your own safety or to the safety of others, or if I am obliged to do so by law.  If I do need to disclose information for these purposes, I would try to do this in discussion with you and with your prior consent. 

My governing body the BACP requires me to have appropriate supervision for all clients. In accordance with the data protection Act 1998, any records of our sessions will be kept confidential and held in secure manner.

Complaints

I abide by the BACPs ethical framework and professional conduct procedures. If at any time a cause for complaint arises that cannot be resolved between us, you may have recourse to the BACP Independent complaints procedure.

BACP number: 415251

Signed

Client   …………………………………………..      

Therapist  ………………………………………….

Date ……………