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Working Agreement (please sign below)

Thank you for choosing therapy with Keri Powell. I provide short and long term therapy to fulfill the requirements of my clients and offer a confidential, supportive, non-judgmental, collaborative therapeutic space.    

 

Contracting

Once you have read this document, please fill out your details and sign at the bottom of the third page. Please return this via email prior to your initial appointment or bring a signed copy with you on the day. Ensure you retain a copy for your own records. If you have any questions, I can discuss them at the beginning of your first appointment or please feel free to call.

 

Confidentiality

All sessions are treated in confidence and your information will not be shared or communicated to others in any form with the following exception: 

A therapist has a duty of care to prevent serious harm to others.  Normally this would involve discussing and agreeing with the client how this could be achieved. In the very rare occasions where there is serious and imminent risk to others, especially young people or other vulnerable groups, then I am legally obliged to take appropriate steps to help prevent harm without or without client consent. If for any reason I think it would be helpful to involve a third party, such as a parent, partner or GP, then I would discuss and agree this before making any contact, and we would agree the limits of what could be discussed with the specific people.

Under 18’s - The right to confidentiality applies to those clients under the age of 18.  The content of sessions will not be shared with parents/guardians/teachers unless there is a serious risk of harm or to ensure safeguarding.

 

Emergency contact

Emergency contacts will only be used in the case of serious illness within the session where the client is incapacitated and unable to make their own arrangements.

If you are unable to establish contact with your therapist directly for an extended period of time please email caroline@cherrytreetherapycentre.co.ukweek

 

Practicalities

Most therapeutic sessions are on a weekly basis at the same time with duration of 55 minutes.        

Online sessions take place using Zoom a recurring link will be sent to you before your first session  

 

 

Fees

Adult

Therapy Sessions:                               £75 per session

Concessions (incl: students)               £65 per session

IEMT/EMDR/Hypnotherapy               £85

 

Payment of Fees

Payments by bank transfer are to be made the day before the appointment or block of sessions.  

Payments by cash in person at the time of the session.

 

Bank details:

Bank Name:       HSBC

Account Name: K Powell

Sort Code:         40-01-13

Account No:      41306081

Ref:                    Initials + date of session – e.g.  KP140822

 

Cancellations

All clients are expected to keep their appointment times or give notice of cancellation of more than 24 hours before the appointment is due to avoid the full fee being charged for the appointment time. Requests to transfer to an alternative session slot must also be received more than 24 hours before the original session time, otherwise this will be deemed a cancellation.

 

GDPR and Data Protection

I follow the guidelines and abide by the GDPR rules.  Personal information is held securely, only for a necessary timescale. Your signature on this document gives consent for your personal data to be held by us to support your treatment. All information is available for view upon request from my therapist.

Please fill in and sign this working agreement.

Date of Birth
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