By signing this form, I acknowledge that I have read, understand, and agree to all of the following terms regarding consulting services provided by Anber. By signing this form, I agree to all the terms and conditions written below.
Nature of Services: I understand that the services provided by Anber are strictly consulting services and do not constitute psychotherapy, psychological counseling, mental health treatment, diagnosis, or any form of healthcare service. I acknowledge that consulting services are not a substitute for licensed mental health care, and I accept full responsibility for obtaining such care independently if needed. I acknowledge and understand that results are not guaranteed.
No Therapist-Patient Relationship: I expressly acknowledge and agree that participation in consulting services does not establish a therapist-patient, client-therapist, or healthcare provider relationship.
Prohibition on Therapeutic Services / Dual Relationship Avoidance: I understand that engaging in consulting services is separate from psychotherapy and does not establish a therapeutic relationship. I acknowledge that, due to professional and ethical considerations, it may not be appropriate for me to receive psychotherapy services from Anber now or in the future.
Scope of Services and No Professional Advice Outside Scope: I acknowledge that all services are limited strictly to consulting.
I am 18 years of age or older.
Professional Boundaries and Purpose: I agree that my participation is solely for consulting purposes. I will not seek to establish a personal, social, or therapeutic relationship with Anber beyond the scope of these services.
Boundaries and Privacy: I agree that I will not publicly identify Anber as my consultant or therapist on any public or private platform, including but not limited to social media, nor will I tag Anber’s professional accounts or engage in any online interactions that could reasonably compromise the privacy, confidentiality, or integrity of the consulting relationship. I further agree not to create, publish, or share any content referencing the consulting relationship in a manner that could reasonably lead to Anber’s identification without prior written consent. I understand that these provisions are intended to preserve the professional relationship, maintain appropriate professional boundaries, and protect the privacy and confidentiality of all parties involved.
Public Disclosure: I agree not to publicly disclose, discuss, or characterize sessions, Anber’s conduct, or the consulting relationship in any online or public forum without prior written consent. Unauthorized disclosure may be considered a material breach of this Agreement and may result in termination of services and potential legal action.
Client Conduct and Attire: I agree to behave in a professional, respectful, and appropriate manner at all times. I further agree to remain fully clothed, including at minimum a shirt and pants, during all sessions. Any behavior deemed inappropriate, unprofessional, or boundary-violating may result in immediate termination of services.
Scheduling, Late Arrival, and No-Show Policy: I understand and agree that session times are fixed and will not be extended due to late arrival. If I arrive late, the session will still end at the originally scheduled time. I further understand and agree that if I arrive more than fifteen (15) minutes late to a scheduled session, the session will be considered a no-show, and the full session fee will be charged as a no-show fee.
Cancellation and Rescheduling Policy: I understand and agree that I must cancel or reschedule a session at least forty-eight (48) hours in advance to receive a refund. If I fail to provide at least forty-eight (48) hours’ notice, I agree that the full session fee will be charged as a cancellation fee and is non-refundable. If Anber has an available slot that week and you are able to show up, the no show fee will be waived and you will just be responsible for the fee of the new session. This is upon Anber's discrection.
Language Requirement: I confirm that I am proficient in English and understand that all services are provided exclusively in English. I accept full responsibility for any misunderstanding due to language limitations. I understand Anber can only speak English.
Recording and Confidentiality Restrictions: I agree that I will not record, reproduce, transcribe or distribute any session, in whole or in part, by any means, without Anber’s prior express written consent. Unauthorized recording or any action stated above constitutes a material breach of this Agreement and may result in immediate termination of services and potential legal action.
Participants: I understand that consulting sessions are private and limited to the participants listed in the service I purchased (either myself alone or myself and my partner). I understand that no children, additional family members, friends, or any other individuals (other than your partner, if that is the package you purchased) may attend the session without prior written approval from Anber. I understand that no one else will observe or listen to the session without Anber’s prior written consent.
Legal Privilege: All consultations are treated as confidential. However, please note that confidentiality is not equivalent to legal privilege. Because a consultation does not establish a formal therapeutic relationship, communications made during consultations are not legally privileged. Accordingly, such information may be subject to disclosure in certain circumstances, including pursuant to a valid court order or subpoena.
Privacy: I acknowledge that maintaining a private, secure environment is my responsibility, and failure to do so may result in termination of the session without refund.
Right to Refuse or Terminate Services: Anber reserves the right, in her sole discretion, to refuse or terminate services at any time for any reason, including but not limited to violation of this Agreement, inappropriate conduct, or concerns regarding ethical or professional boundaries.
No Refund Policy: I understand and agree that all fees paid for consulting services are non-refundable. In the event of termination due to my breach of this Agreement, any prepaid fees shall be forfeited in full.
Limitation of Liability: To the fullest extent permitted by applicable law, I agree to release, waive, and hold harmless Anber from any and all claims, liabilities, damages, or losses arising out of or related to my participation in consulting services, including but not limited to decisions I make based on such services.
Severability: If any provision of this Agreement is found to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.
Entire Agreement: This document constitutes the entire agreement between the parties and supersedes any prior discussions, representations, or agreements.
Acknowledgment and Consent: By participating in consulting services, I acknowledge that I have read this Agreement in full, understand its terms, and voluntarily agree to be legally bound by it.
This service is not intended for crisis or emergency situations; if you are experiencing a mental health crisis or need immediate support, please call 988, contact local emergency services, or seek care from a licensed mental health provider in your area.
By signing below, I acknowledge that I have read, understand, and agree to all the statements above, and that my participation in consulting sessions with Anber is subject to these terms.