1. Introduction
Welcome to my practice. This contract sets out the terms of our work together, as an agreement between myself and you as parents or guardians, regarding the therapy I will be providing to your child.
2. Parental Consent
By signing this contract, the parent or legal guardian gives their informed consent for me to provide psychotherapy sessions to their child, and agrees to support the therapeutic process through regular attendance and engagement in parent meetings when invited.
3. Limits of Confidentiality
I am fully committed to maintaining the confidentiality of your child's therapy. Everything shared in sessions is kept strictly private. The only exceptions where confidentiality may be broken without prior consent are:
- There is a disclosure of intent to harm the child or others.
- There is suspicion or evidence of abuse or neglect.
- There is any other identified risk to the child's safety or wellbeing.
4. Psychotherapist's Responsibilities and Limitations
- I do not provide emergency services. In case of emergency, please contact the nearest hospital.
- I do not prescribe medication. Referrals can be made if needed.
- If your child's needs are outside my expertise, a referral to a specialist will be offered.
- I cannot provide statements for court procedures unless legally required.
5. Payment and Cancellation Policy
- Pre-payment is required to confirm each session.
- Please give at least 24 hours' notice to cancel or reschedule. Cancellations within 24 hours, or no-shows, will be charged the full session fee.
- Each session lasts 50 minutes.
6. Discontinuing Therapy
You are free to end therapy at any time. However, it is advisable to discuss this in advance and consider a final session or more for closure, in the best interest of your child.