Therapy Agreement

Client’s name:  ……………………………………

Psychotherapy is a significant investment of time, resources, and an emotional commitment. This document sets out the basis of our agreement which helps support our work together. It lets you know what you can expect from committing to therapy and 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.

Venue

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

Fees

The agreed fee for each session is £85 payable weekly/monthly as agreed. Fees are payable in advance prior to the appointment via bank transfer

If two or more sessions are unpaid without prior notice, we will need to discuss this. If you are experiencing financial difficulty, please discuss this with me at the earliest opportunity so we can review our agreement and explore a payment plan. I reserve the right to pause or terminate therapy until the outstanding balance is cleared.

I review my fees yearly.

Cancellation

It is essential in effective therapy to establish and maintain regular contact. I charge the full session fee for unplanned cancellations, as the time is reserved exclusively for you. If I have sufficient notice of the cancellation and can reschedule, I will. 

I recognise the need to take holidays. So long as I have at least two weeks’ notice, I offer up to 4 Holiday Cancellations per year (a ‘year’ starts from the date of the first session) at a £15 admin and retainer fee. Other weeks missed beyond that will be charged for in full.

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 6-8 weeks of annual leave a year.

Ending

We have agreed that the sessions will continue on an open-ended basis for as long as our work is useful for you. At session 6 we will review our work together and decide to either complete therapy or continue with ongoing sessions.

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 less the 12 months, a 4-session notice period and less than 3 months, a 2-session notice period.

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 …………