Rosemary BowdenCounselling and Psychotherapy in Ashtead, Surrey

Privacy Policy and Psychotherapy Agreement

If you chose to work with me I will treat you and whatever you tell me about yourself, your concerns and the people you come in contact with, as confidential. However there are some limitations which you may see in the Psychotherapy Agreement Form below. I will ask you to sign it to show that you are aware of how I work and the kind of records I keep.


Psychotherapy Agreement

1.
Your psychotherapy session(s) will be held on the same day and at the same time each week, as far as is possible. Each session lasts for 50 minutes.

2.
Therapy sessions are confidential. However, if something arises that suggests harm to yourself or another I may wish to consult your General Practitioner. I will endeavor to discuss the matter with you first.

3.
Fees are discussed and agreed during the Initial Consultation. I review fees in the early Autumn of each year, or potentially earlier, should your financial position change.

4.
I do charge for all missed and cancelled sessions except in difficult circumstances, such as if you are an Inpatient in hospital. I will honour any holiday you may have booked before your therapy begins.

5.
I do take regular breaks and will notify you in advance.

6.
It is helpful to work together towards an ending when you are ready to finish the therapy, giving at least a month’s notice if possible, unless we have agreed to work to a fixed number of sessions.

7.
I work within the ethical code of the United Kingdom Council for Psychotherapy (UKCP). There is a complaints procedure available. I do discuss my work regularly with a senior colleague as part of my ethical responsibility.

8.
I do keep simple records of our work together for an appropriate period. These are kept in my consulting room which is locked during my absence. Two colleagues also hold electronically a list of my current clients in the event of an emergency. I also hold emails/correspondence electronically for a period.

Please sign below to confirm you have read and consent to our arrangement.

Client Signature……………………………………………………… Date………………………………………………




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