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.

The time and day of your session is reserved for you and not available to anybody else. I charge a £15 holding fee for any missed session, unless it is cancelled within 24 hours then the full fee is payable.

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.

We have agreed that the sessions will continue on an open-ended basis.  We will agree a finishing date between us as appropriate.

Venue

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

Fees

Currently agreed fee for each session is £75 payable weekly or monthly by agreement and payment is to be made by bank transfer.

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.

Signed

Client   …………………………………………..      

Therapist  ………………………………………….

Date ……………