Counselling Agreement
Throughout the counselling process, confidentiality is maintained for clients. This standard procedure and practice is for all clients, regardless of age or background, except in the following circumstances:
a) You instruct me to tell someone else and provide written permission of this
b) I determine you are a danger to yourself (eg self-harm or suicide), to others or someone is a danger to you
c) I am ordered by a court to disclose information
d) The law is going to be, or has been, broken
e) Abuse of children is a mandatory reporting offence which I am bound by law to report
f) For supervision and education purposes (basic information only shared in this instance, not names or details that would in any way disclose or identify you, the client)
Where confidentiality cannot be maintained, as your counsellor I will take all steps possible to inform/discuss my intention with you.
Fees and Cancellations
Online
· 1st Session 90min $150
· 2nd and subsequent sessions 60min $100
Face to face
· 1st Session 90min $180
· 2nd and subsequent sessions 60min $120
If you believe you would benefit from more than 3 sessions, we can organise a package that can work for you.
Payment is required to secure your booking.
Payments can be made via direct deposit to:
Christina Peak BSB: 638-260 Account Number: 15936201
Or use the Paypal link:
https://paypal.me/Childspeak?country.x=AU&locale.x=en_AU
In the event that you are unable to keep an appointment, please provide 24 hours notice. 50% of your session fee will be retained if less than 24 hours notice given.
Your signature on this document indicates that you have read and understood the counselling agreement, including confidentiality and fees and cancellations, and your questions have been answered to your satisfaction.
If you have any questions, please call or text Christina on 0439 756 314 or email Christina@childspeak.com.au