Viktoria Miller Therapy

Client Contract

Agreement between Viktoria Miller Therapy (Counsellor) and

Client Details:

Name:

Address:

Telephone:

Email:

Occupation:

D.O.B:

GP Details:

Name:

Address:

Tel:

The aim of counselling is to provide you, the client, with a confidential opportunity to explore personal and relational issues in safety. My role as a counsellor is to help you through this process without judgement or telling you what to do. During counselling, we set goals, and the client agrees to work towards the agreed goals.

Everything discussed in a counselling session is kept in confidence. As a Counsellor I have regular supervision and so I discuss our work with a supervisor. However, I do not disclose anything that would enable you to be identified.

Exceptions to confidentiality

1. If you threaten harm to yourself or to another person

2. If I believe a child or protected adult is at risk of harm or abuse

3. If the courts instruct me to give information

4. If you share information about a proposed act of terrorism or another illegal act.

Sessions

A session lasts for 50 minutes, and I will meet you at an agreed time and place (or online). If you arrive late, I will see you for the remainder of the time as long as you are not more than 20 minutes late. If you are more than 20 minutes late, I will consider your session cancelled and I won’t be able to see you for the remainder of the time and you will be charged your session fee.

The session is entirely yours and I am there to listen, learn and support you in your process. Some people prefer to work with an open contract, whereas other people prefer to work with a fixed number of sessions followed by a review. In all cases, every six sessions the counsellor and client will review the therapeutic process together. This helps to assess whether your needs as a client are being met and, this will also help (if required) to carry out the necessary adjustments and/or establish new goals for the process.

Payment

Sessions last for 50 minutes, and the fee is £50 which needs to be paid prior to the session.

If there is an outstanding payment from a prior session, I will not be able to continue with the sessions until the balance is correct.

Bank details

Card payments accepted. Please use this link: https://buy.stripe.com/14kaFI2DKeKQ8Xm7st

Cancellation

If for any reason I have to cancel a session I will aim to provide you with 48 hours’ notice, and you will not be charged for the session. Likewise, I will expect you as the client to give me 48 hours’ notice if you are unable to attend. However, I understand that sometimes we cannot give 48 hours’ notice if we fall ill or in case of an emergency, in that case 24 hours’ notice is sufficient.

However, in the case of not attending a session and not giving 24- or 48-hours’ notice I reserve the right to charge you the full session fee. (£50)

Holidays

I will give you a minimum of 2 weeks’ notice of any planned holiday dates when I will be unavailable. I require (where possible) at least 2 weeks’ notice from you.

Client

Signed __________________________________	Date:

Counsellor

Signed __________________________________	Date: