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  • Participant Survey

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  • Transforming Relationships is dedicated to handling personal information in compliance with the EU's General Data Protection Regulation (GDPR), and the Australian Privacy Act of 1988.

  • The following information will guide us to better understand you in a comprehensive, systemic way. Some of these questions may be difficult, challenging, or triggering to answer.

  • Relationship Background

  • Family Background

  • History

  • The following information will guide us to better understand your current personal wellbeing.

  • Current Experiences

    Check any of the following boxes that apply to you currently.
  • Thank you for sharing this information, especially the difficult or challenging parts. All information will be handled as per our Privacy Policy

  • TERMS & POLICIES

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  • Please read the following terms and policies.  When you have read them please fill out and sign and email it back to caroline@metapsychotherapy.com before your scheduled appointment.

     https://1drv.ms/b/s!AkzSomOYa6C1vsRa5SIEwP3o3FB0RQ?e=s2muoP

     

    Payment Terms:

    To secure and confirm your appointment, payment is to be received 24 hours before the session via Direct Transfer: BSB: A/C:

    Bank Account Details

    PayPal:  https://paypal.me/MetaPschotherapy?country.x=AU&locale.x=en_AU
     
     

    Direct Bank Transfer
     
    ANZ bank.

    Account Name: C Shahbaz

    BSB No: 013427

    Account No.: 150002925

    For international bank transfers

    SWIFT CODE:
    ANZBAU3M
     
    Bank Address
    110 Acland Street,

    St. Kilda, Victoria, 3182
     
     
    Intake Forms:

    Ø  To avoid our initial session time being taken up by form filling, please take a minute to complete the intake form 24 hours before the session. 

     

    Record keeping policy

    My record system & software meets the privacy requirements for sensitive information according to the Australian Psychological Societies guidelines and standards for e-records and is compliant with the Commonwealth Privacy Act (199).  My E-records are kept password protected and securely; only persons with passwords to clients' e-records identifiers can access their records.  Records maintained include the following information:

    Ø  Intake / Administration including: demographic information, release of information forms, referral letters/reports from other professionals, how services are delivered (face-to-face, online), fees paid, and outstanding

    Ø  Clinical Notes including: Dates/times of appointments, client history, any assessments/reports/tests. Any reports that have been written including letters to other healthcare providers.

    Ø  Treatment Plan including: Diagnosis, case formulation, risk management plans, response to treatment, and actions taken when required to enact the management of risk.

     

    Appointment Changes, Cancellations, & Lateness Policies:

    Ø  I am happy to change appointment times at any time up until 24 hours before our scheduled appointment however if less than 24 hours notice is given, a full session fee will be charged.

    Ø  Unfortunately, non-attendance will also be charged the full session fee. Medical emergencies are an exception.

    Ø  I understand lateness sometimes occurs, however, as there are often clients booked in back to back, lost time will be forfeited. Clients can instead enjoy the session within the time remaining.

     

    Confidentiality & Privacy:

    Ø  You have the right to confidentiality and privacy. You can feel assured as a therapist I am morally and legally bound by a duty of care. Essentially, that means I am not permitted to reveal any aspect of our interactions to anyone.

    Ø  In couple and family therapy where multiple others are involved, I will encourage you to share information within boundaries of safety and transparency to facilitate healthy conversations.

    Ø  There is, however, an exception to that rule. If I feel you are at risk of harm to yourself or others, I may need to break confidentiality and access further support. 

    Ø  To be clear, please understand your confidentiality is about me not being permitted to divulge anything that is said or done during our sessions. Privacy, on the other hand, is about you and your right to not divulge anything you don't want to. You have the right to both.

     

  • MetaPsychotherapy PTY LTD trading as Transforming Relationships

    ACN 666 077 185 ABN 40 666 077 185

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