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YOUR LOGO OR HEADING

in colour or with an image or your photograph



CONTRACT

As member of the (name professional association) , counsellor (coach) (name) practices under the highest professional standards and follows the ethical framework of the British Association for Counselling and Psychotherapy (BACP). A copy of this framework is available upon request or can be downloaded from the BACP website at:

http://www.bacp.co.uk/ethical_framework/.

May I ask that you read and sign the following contract? Please feel free to ask your counsellor (coach) any questions that may arise before you sign, as well as any other questions you might have during the course of your counselling (coaching) trajectory.




  1. I understand that I have an initial contract of ..... sessions of ... minutes each, with reviews conducted at regular intervals, at which point the contract may be renegotiated.

  2. I understand that the fee is € .............. per session, which will be paid in cash to my counsellor at each session (or via banktransfer to account number .......................... to the name of ................................. within ..................)

  3. I will contact my counsellor as soon as possible if I am unable to attend any of the planned sessions. I understand that I will need to pay for the session if I cancel less than ..... hours in advance.

  4. I understand that if I fail to attend two consecutive appointments without giving prior notice, then the counsellor has the right to suspend or end this contract.

  5. I understand that if my counsellor does not feel that she can offer me the support I require, she will discuss options for referral to a more suitable professional or agency.

  6. I understand that if I do not feel comfortable with my counsellor, I can ask to be referred to another professional.

  7. I understand that my counsellor abides by a strict code of confidentiality, which means that she will not disclose any information about me to any third party without discussing it with me first and getting my explicit consent, unless there would be an exceptional legal obligation to do so.

  8. I understand that my counsellor receives regular professional supervision (or intervision) in relation to her counselling work and that this is bound by the same principles of confidentiality as mentioned above.

  9. I will undertake not to use alcohol or drugs (other than prescription drugs) prior to my counselling sessions and I understand that such use could lead to suspension or termination of this contract.

  10. I understand that my counsellor may keep brief notes about the sessions which are safeguarded by the same rules of confidentiality as mentioned above.

  11. I understand that if I have a complaint or grievance, I would be very welcome to discuss it first with my counsellor. If I am not satisfied, then I may submit my complaint in writing to the practice (name). Should I not be satisfied with the outcome of that procedure, then I understand that I can complain to the (name and address professional association).

I have read and understand the above contract.




Client:

Place: ............................................................... Date: .................................

Name: ...........................................................................................

Signature: .....................................................................................



Counsellor:

Name: ............................................................................................ Date: .................................



Signature: ......................................................................................


© Academy for Counselling and Coaching - Level 2 - V8.0 - www.counselling.nl -



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