THERAPY CONTRACT – PRINT / DOWNLOAD

THERAPY CONTRACT

Please read document this carefully before using services by K D Peak therapy and sign this contract only if you wish to be bound by it.

Acceptance of Terms

These terms and conditions will apply to the purchase of the services by you. Your access to and the use of the service is conditioned on your acceptance of and compliance with these terms. By accessing the service, you agree to be bound by these terms. If you disagree with any part of the terms, then you may not access the service.

K D Peak therapy reserves the right to amend these terms and conditions at any time. Your continued use of services after any amendments shall be deemed to be your acceptance of such changes. The responsibility to check the terms and conditions regularly for any amendments lies with you.

Privacy Policy

See separate privacy policy document.

Payment for services

Individuals:  A CBT session is  ………. per session. Currently, there are no credit card payment facilities within the business. The preferred method of payment by the business is BACs transfer. Payments must be made at the end of each session.

Corporate/Insurers/EAP’s/Solicitors: Terms as agreed.

In the event that a private health care plan is being sued to fund your treatment, therapy will not commence until approval in writing has been received by the private health care organisation or you are able to provide the relevant authorisation code.

Cancellations of Sessions/ Changing appointment day or time

It is understood that sometimes sudden events, such as emergencies, happen, that may make it necessary for clients to cancel their appointment last minute or fail to attend and are unable to provide notification. On these occasions it is the therapist’s discretion if a fee will be charged. In general, however, 72 hours (3 days) notice is required to cancel a session or change the day or time of a session. Failure to give this period of notice will incur an administration charge of £20 for the first cancelled appointment. Further cancelled appointments will incur the charge of a full session fee of £80.

Corporate/Insurers/EAP’s/Solicitors: Terms as agreed.

Code of Ethics and Practice

I am bound by the code of ethics and practice of the British Association of Behavioural and Cognitive Psychotherapies (BABCP) and the Health and Care Professions Council (HCPC.) A copy of the code of practice and ethics can be viewed on the BABCP and HCPC websites.

I have a duty of care to act upon identified risks of harm to the client or others, therefore the client must provide details of their next of Kin and/or GP as a point of contact in the event that risk of harm to self or others is identified.

As part of my code(s) of practice I am required to carry out continuing professional development, and to engage in regular on-going clinical supervision. This is to ensure an ethical and professional service to clients. I may discuss your case in supervision but would not use any identifying details.

Confidentiality 

Confidentiality will be maintained within the code of ethics and legal requirements. Confidentiality does not apply where it would mean that I as your therapist might break the law or where withholding information means I would breach the code of ethics. Confidentiality may be breached if I consider there is a risk you may harm yourself or others. In such exceptional circumstances, where there is concern for your wellbeing or that of others it may be necessary to seek help outside the therapeutic relationship. In such an event, where I am considering breaking confidentiality, you will normally be consulted first.

In the case of a disclosure involving acts of terrorism, vulnerable adult or child protection issues or drug trafficking, confidentiality will be breached, and such disclosures will be passed on to the relevant authority without delay. Due consideration should be exercised before disclosing anything of a previously unreported criminal nature, as I am obligated to contact relevant authorities.

Complaints 

Complaints about professional conduct, if not resolvable between the therapist and the client, can be made to the professional body ‘The British Association for Behavioural and Cognitive Psychotherapies.’ The therapist cannot be held responsible for the failure of any treatment or therapy to achieve its desired effect.

Location

CBT will take place either face to face or over the internet using Zoom.  As a client all you will need is a good internet connection, a  confidential space and device to carry out the therapy. The decision as to whether to conduct sessions face to face or remote will be discussed and agreed by the therapist and client (See Covid 19 policy.)

Session Length

 The normal duration of each session is 50-60 minutes, although I reserve the right to amend that for therapeutic reasons. If for any reason you are late for a session, I will see you for the duration of the remainder but will be unable to work beyond the allocated time as this will disrupt the clinic for other clients.

Therapeutic Relationship

Our therapeutic relationship will remain a professional one at all times, the boundaries of which can be agreed between us during our sessions.

Endings

CBT can at times be demanding, frustrating and emotional. You may at times find this process very difficult and feel the need to end therapy. Your feedback on the process will be asked for at the end of each session and if you feel unhappy with any aspects of the treatment being offered please do try and communicate this verbally. In the normal course of events you will probably know when you are ready to finish CBT and we will agree together on the work we need to do to prepare for this.

Emergencies

Please be aware that I do not offer crisis support. If during your time in therapy you feel in crisis, you should contact your GP or attend your local A&E department.

If you are signing on behalf of a child under 16 then the above will apply on behalf of that child

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Yes, I have read and understand the terms and conditions of this contract. If you prefer, an electronic signature sent by email  will be accepted, stating you agree to the above terms, giving your consent to the service being offered.

Client name (printed):

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Client’s signature:

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Date of signature:

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Parent’s name (if signing on behalf of a child) (printed):

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Parent’s signature (if signing on behalf of a child):

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Date of signature:

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