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  • DESA Holistic Wellbeing

  • COUNSELLOR/CLIENT BARIATRIC SUPPORT AGREEMENT

    Please read carefully
  • This document formalises the counselling and coaching agreement between Desanka (Desa) Ogrizovic, a Clinical Member of PACFA, and the client.

    It outlines the responsibilities, procedures, packages, and pricing for therapeutic and coaching services before and after bariatric surgery, to be signed digitally via Jotform.

  • 1. Scope of Services

  • Desanka (Desa) Ogrizovic offers integrated therapeutic support to clients pursuing bariatric surgery or weightloss transformation. This includes evidence-based counselling for trauma, emotional regulation, body image, and empowerment coaching.

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  • 2. Counsellor Obligations. 3. Client Responsibilities. 4. Suicide Ideation & Risk. 5. Confidentiality & Records

  • 2. Counsellor Obligations:

    - Maintain ethical standards under PACFA Code of Ethics

    - Provide trauma-informed, person-centred, and confidential care Refer to specialists as needed, and ensure duty of care in all circumstances

    3. Client Responsibilities:

    - Attend scheduled sessions or give 24 hours' notice to avoid fees

    - Actively participate in discussions and tools provided

    - Engage in assigned assessments and self-reflection exercises

    4. Suicide Ideation and Risk:

    If suicide ideation or serious risk to self or others is disclosed, Desanka (Desa) Ogrizovic is legally obligated to take appropriate action which may include emergency referral, notifying GP, or contacting crisis services.

    5. Confidentiality and Records:

    All client information is confidential and handled according to Australian privacy laws. Files are securely stored for 7 years.

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  • 6. Fees and Payment

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    - Standard Session Fee: $200 per 60-minute session

    - Payment due on or before each session unless otherwise arranged

    - Private Health Rebates may be available based on fund and policy

    - Late cancellations (under 24 hours) will incur a full session fee

    -Payment Plan Options may be available*

    *Payment plans must be agreed upon in writing prior to service commencement. A deposit may be required. Missed or late payments may result in the suspension of sessions until the account is brought up to date.

    7. PACKAGES: 

    🦋Detailed Package Options Empowered Preparation Package $1100 (6 sessions)

    Comprehensive pre-surgery psychological assessment Address emotional readiness, triggers, mindset Develop personalised mental health strategies

    Reports and readiness letters for surgeons (if required)

    🙌Total Transformation Package $2100 (12 sessions)

    Includes everything in the Empowered Preparation Package

    PLUS post-operative support: adapting to identity changes, body image, lifestyle shifts

    Email/text check-ins between sessions

    Relapse prevention and emotional eating support

    🤗Post-Op Reset Package $1150 (6 sessions) Focused on post-surgery maintenance and relapse prevention Reconnect with self-worth, overcome self-sabotage, sustain healthy habits Emotional empowerment tools and accountability.

  • ***Each package includes customised tools, worksheets, and optional referrals. All clients complete a structured initial assessment to tailor support.

     

  • 8. Assessment Process

  • The initial assessment involves:

    - Psychosocial screening

    - Exploration of mental health history, eating patterns, body image

    - Identification of coping mechanisms and emotional readiness for surgery

    - Setting achievable and empowering personal goals

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  • 9. Termination of Services

  • Either party may discontinue counselling at any time. A final session is recommended for therapeutic closure.

    If a package has been paid for in advance, no refunds will be issued for unused sessions.

    However, any remaining sessions may be used within 6 months of the original agreement date, subject to availability.

  • 10. Legal Standing & Consent

  • This agreement is subject to Australian laws and PACFA standards. The client agrees to the terms stated above.

     

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  • Counsellor Name: Desanka (Desa) Ogrizovic

    PACFA Clinical Member No: 28657

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