DISCLAIMER: This booking is for a 50-minute online or phone counselling session provided by a qualified counselling professional. Its purpose is to provide you with a safe, confidential space to discuss your experiences of Melanoma. Please note this is not an in-person face to face service and the counselling offered is for Melanoma patients, family/Whānau of patients and limited to conversations around Melanoma only. Melanoma New Zealand (MNZ) is offering 4 funded free counselling sessions with our counsellor. These are short-term brief intervention counselling sessions. You may access one or all 4 free sessions offered. If you are late for your booked session, your session will finish at the end of the 50 minutes as per the booking. If you cannot attend a confirmed booking, please notify the counsellor as soon as possible to rebook, please be aware rebooking times may depend on availability. If you do not arrive for your booking, our counsellor will make all attempts to contact you, if no contact is made, the counsellor will use their discretion to determine if the missed booking counts towards one of the 4 sessions. This is NOT a crisis service and at any point, if you require further ongoing support – either counselling and/or medical support our counsellor will refer you to or suggest you access the most appropriate services recommended. It is therefore essential that all counselling clients booked in for counselling sessions with the MNZ counsellor are registered with a General Practitioner. Please note that it is your own responsibility to make appointments with any suggested and referred recommended agencies.
PRIVACY STATEMENT: Information collected on this form and in the course of the counselling support services provided will be handled in accordance with the Privacy Act 2020 and the Health Information Privacy Code 2020, and is subject to our Privacy Policy available at https://www.melanoma.org.nz/terms-of-service. Your information will be collected and held by Melanoma New Zealand (MNZ, we or us) and our service providers only for the purposes of: (i) providing you with counselling services and (ii) referring you to other specific services and (iii) providing general communications to you (such as our newsletter and information about our events) if you choose to receive them and (iv) administer, manage, and develop our services for you and (v) comply with our legal or contractual obligations. The personal information you provide to us may be disclosed to, and used by, your GP or another agency at your request/or after being notified and discussed with you and/or other persons where that use or disclosure is required by law. You do not need to supply the information on this form, but without it we may not be able to provide our counselling support services to you. Client counselling records will be stored, used and disposed of in accordance with the Privacy Act, except in cases where there is a legal requirement to release client information. You can request access to, and correction of, your personal information held by us by contacting Melanoma New Zealand at admin@melanoma.org.nz or Level 1, 69 St Georges Bay Road, Parnell, Auckland 1052.
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