Counselling Request Form

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Attendance and cancellations 

· You must give as much notice as possible if you cannot attend a pre-arranged session, either by informing via email to or mobile 03330509037. 

· If you miss a pre-arranged session without giving 48 hours notice you might not be considered for further treatment. 

· Whenever your therapist is unable to attend an appointment, we will endeavour to give as much notice as possible. For this reason it is essential that we have a contact telephone number. If for any unforeseen reason your therapist does have to amend or cancel an appointment, they will make contact with you over the telephone. 

· If you arrive late for your therapy appointment, please respect that the therapist may have other clients due for appointments and may not be able to provide a full session as planned. 

Data protection and confidentiality 

· Your data will be treated confidentially at all times during your therapy support, in compliance with current UK legislation to ensure your data is stored safely and protected. 

· You agree to keep confidential all matters pertaining to other members during group sessions. 

· We are required by law to apply the same level of protection to your data, while also complying with the ethical framework of their respective professional body in relation to client confidentiality. 

Treatment protocols and confidentiality 

· The frequency of your sessions will be discussed and agreed with you during the course of your treatment 

· At regular intervals during the course of your therapy, you and your therapist will set aside time in the session to review your progress and you will be asked to complete evaluation scores during your therapy support. These forms should not be taken away from the therapy room (or in the case of phone therapy – these should be completed verbally over the telephone). Your therapist will also review your goals during and upon completion of your therapy sessions. 

· At any time during your therapy support should it be felt that you are a danger to yourself or others, or that you may be in danger of harm from others, the therapist may need to contact your GP, the emergency services, or other relevant professional. Furthermore, should there be any concerns relating to the safety of a child or vulnerable adult they will be required to inform the relevant professional. You will always be informed prior to any action being taken.