Parent/Guardian contract agreement for
As the parent/guardian of the young person coming to counselling, please take some time to carefully read through the contents of this contract. If you agree to the terms and conditions that this contract holds, please sign the contract and submit the contract agreement below.
The following outlines the terms of the contract for counselling between:
Peter Golder (Counsellor) on behalf of Acorn Counselling Therapy and the (Parent/Guardian) that signs and completes details on this document.
Confidentiality is a means of providing the young person coming for counselling with safety, privacy and autonomy. With this in mind, I will not share any aspect of the counselling work with you as the Parent/Guardian, unless the young person I am counselling expresses a wish for me to do so.
In the event that I believe it would be helpful to communicate with other professionals, I would speak to my client first, to make them aware of this and get their consent. The exception of this would be if they told me something that they or another had done or were intending to do, and this action was something I was legally or ethically obliged to disclose. In the unlikely event that this happens, I would inform them that I was going to discuss this with other professionals and would do so, with or without their consent.
As part of my (Peter Golder) professional development and ethical working, I attend regular clinical supervision where my work is discussed. When doing this I do not share someone's identity or any other details that could make someone identifiable.
Sessions last for 50 minutes and will usually be at the same time and day each week. We will agree on there frequency between us on an ongoing basis. In some circumstances, with mutual consent, it may be that we choose to plan one of the sessions on another day of the week and at another time, in order to provide a flexible service when needed.
If the young person is late for a session for any reason, please let me know as soon as you can. If they are late for the session, the session cannot be extended.
If they arrive to a session and their behaviour has been affected in any way due to substances use e.g. alcohol / drugs, I may decide not to proceed with the session, this will be at my discretion and the session will remain chargeable.
Cancelled and missed sessions
I will give you and them as much notice as possible if I need to cancel a session for any reason.
I require at least 48 hours’ notice if the young person has to cancel a session. If they can’t give 48 hours then the session will need to be paid for, unless we have previously agreed otherwise. To cancel a session they can email, call or text me directly.
Payment for sessions
Fees are £50 per session. Payment for sessions will be made before the session or on the same day as the session by bank transfer or at the session by chip and pin. Please note that your name may appear on Acorn Counselling Therapy bank statements. The statements will be seen by myself, Counsellor and Giancarlo Squillaci, business manager of Acorn Counselling Therapy.
The bank details to make the payments by bank transfer are;
Account in the name of - Acorn Counselling Therapy
Sort code. 40-25-03 Account no. 01695428
Certification of counsellor
I am a qualified counsellor and registered member with the National Counselling Society (NCS) and United Kingdom Association of Transactional Analysis (UKATA) and as such abide to their Code of Ethics and Professional Guidelines (a copy of which are available from their respective websites).
If you have a complaint about my work or the counselling service, the first stage is to discuss this with me as the counsellor. If you feel unable to discuss the complaint with myself, you can contact one of the organisations that I am a registered member of; NCS and UKATA.
Termination of Counselling
There may be times during counselling that a person can feel distressed and feel that counselling is not helping them. This is not an uncommon experience part way through counselling. I ask that if someone would like to stop counselling at any time, then we talk this through first. This will give us both the opportunity to understand more fully what is distressing, enabling us to find a way to resolve the distress that they may be feeling. With this in mind I ask that two clear sessions notice is given before ending counselling.