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Counselling Consent Agreement

Oak Tree Counselling

www.oaktreecounselling.me

 COUNSELLING CONSENT AGREEMENT

 

 

Welcome!  This letter is to inform you about this counselling service and your rights as a client.

I, Lorna Barnes am a Certified Professional Counsellor and provide counselling for individuals, marriage and relationships, and parenting.  I am registered with PACCP (the Professional Association of Christian Counsellors and Psychotherapists).  I have a Masters of Arts in Biblical Counselling.

THE GOALS OF COUNSELLING

Your counselling will attempt to identify and approach your difficulties in a compassionate and effective way.  An important aspect of this process will be to work toward improving your key relationships with yourself, your family, and others. 

I provide a counselling service offering support for clients who are experiencing emotional, relational, and spiritual challenges. I’m able to offer faith-based Christian counselling, however having said this, I honour your perspective, dignity, and personal choice.

Sessions will be 50-55 minutes long.  Part of my work with clients is to spend time completing required documentation, background research, and treatment planning for the process of working with you.

 

At this time all sessions will in be conducted by virtual means either by telephone or video. My office location at 600 Crowfoot Crescent NW, Suite 340, Calgary, AB, is closed, however an announcement will be made on my website if in-person sessions resume.

I further understand that there are risks unique and specific to Telehealth, including but not limited to, the possibility that our therapy sessions or other communication by my therapist to others regarding my treatment could be disrupted or distorted by technical failures or could be interrupted or could be accessed by unauthorized persons. In addition, I understand that Telehealth treatment is different from in-person therapy and that if my therapist believes I would be better served by another form of psychotherapeutic services, such as in-person treatment, I will be referred to a therapist in my geographic area that can provide such services.

I invite you to discuss any concerns or complaints you may have regarding therapy at any time. You are welcome to discuss discontinuation of therapy at any time.

CONFIDENTIALITY

You will receive counselling that is conducted in a confidential manner.  Records related to your therapy are released to other professionals only with your permission or by court order.  If information is required by other professionals you will be asked to sign a Consent Form for the Exchange of Information.

It is a requirement by law to report to the proper authorities in the case of child abuse.  If there is a clear possibility of suicide or homicide, contact will be made with appropriate authorities or support systems.

You are entitled to privacy and the expectation that all communication and records related to your service are kept confidential.

CANCELLATION

If you are unable to attend a scheduled session please cancel online at https://oaktreecounselling.acuityscheduling.com giving 24 hours notice. If you do not have access to the Internet I can be contacted by email at oaktree.lorna@gmail.com or phone at 844-879-4308.

 

I have read the above information and understand my rights and obligations as a client of this counselling service.

 

CLIENT

Date:___________________________________

Name:__________________________________

Sign:____________________________________

 

CLIENT

Date:___________________________________

Name:__________________________________

 

Sign:____________________________________

 

Counsellor Signature:__________________________________________________________