Consent in Therapy
Did you know, when you start therapy, it is important you understand your rights and responsibilities? It is such a big thing, to disclose personal information, often painful information, with a professional. We get our clients to sign a consent form to ensure they feel safe before we start. It also includes information about cancellation policies, confidentiality, privacy, and fees. This is an example:
Client Consent Form Please Note If, after reading this page you are at all unsure of what is written, please discuss it with your therapist.
Privacy Your personal information is protected by GDPR laws. As part of providing a therapy service to you, I will need to collect and record personal information that is relevant to your current situation. This information will be a necessary part of the assessment and treatment that is conducted. Refer to our privacy policy here.
Access You may access the material recorded in your file upon request, subject to the exceptions related to Privacy Legislation.
Confidentiality All personal information gathered during the provision of the service will remain confidential and secure except when:
- It is subpoenaed by a court, or
- Failure to disclose the information would place you or another person at risk; or
Authority to Release Your prior approval has been obtained to:
a) provide a written report to another professional or agency, or
b) discuss the material with another person.
I authorise the therapist to obtain any relevant medical information necessary to determine the best course of treatment from my doctor(s), or other registered medical practitioners and/or health professional/s I may have consulted, or to whom I may be referred in order to decide suitable services and programs for myself;
I consent to the therapist exchanging relevant information about my conditions with my treating doctor(s) and any other health professionals I may have consulted, or to whom I may be referred by the therapist in order to decide suitable services and programs for myself.
I consent to the therapist discussing my de-identified information for the purposes of supervision.
Fees I am aware of the current fee schedule and agree to honour all fees at time of service or before service if paid via direct deposit or for online services. If a third party is paying my fees, I understand I am liable for the fees should the third party refuse payment.
Cancellation Policy I agree that I will pay full fee should I cancel without 48 hours notice, unless I present a medical certificate or am able to substantiate extenuating circumstances.
Your Rights
You will receive a clear explanation of the service you will receive
Your consent for any service will be sought prior to the service commencing and as it progresses
You will receive a competent and professional service
You will receive a clear statement about fees
An estimate of the number of sessions required to achieve your goals will be discussed
You will receive a service free from sexual harassment
You will be shown respect for your cultural background and language tradition
NOTE: If you have any concerns about the above matters, please discuss these with therapist or the Director of Therapy in Barcelona, Leigh Matthews: leighmatthews@therapyinbarcelona.com
I HAVE READ AND UNDERSTAND THE CONDITIONS PROVIDED IN THIS CONSENT FORM.
I AGREE TO THESE CONDITIONS FOR SERVICES PROVIDED BY COLLABORATING THERAPISTS AT THERAPY IN BARCELONA.
