Therapy. Session Structure. Cancellation Policy. Sessions confirmation. Length of Therapy

Similar documents
Tara C. Gutgesell, MA, LPC LLC

PSYCHOLOGICAL HEALTH ASSOCIATES, PA PSYCHOLOGIST-PATIENT SERVICES.

Psychologist-Patient Services Agreement

Leslie Ellen Ackerman, Psy.D., PC

BPC Continuing Professional Development

SERVICES AGREEMENT (Effective 7/6/15) Julie A. Pelletier, PhD Licensed Clinical Psychologist 454 Rolling Ridge Drive State College, PA 16801

THERAPIST-CLIENT SERVICE AGREEMENT

OUTPATIENT SERVICES CONTRACT AND CLIENT INFORMATION

Linda Smoling Moore, Ph.D. Licensed Psychologist

Legal & General Critical Illness Cover

Who referred you to us? Who shall we contact in case of emergency? Phone:

PSYCHOTHERAPIST-CLIENT SERVICE AGREEMENT

PRO-ACT Frequently Asked Questions

4601 Spicewood Springs Rd., Office (512) Austin, Texas Fax (512) DOCTOR-CLIENT SERVICES AGREEMENT

AGREEMENT FOR SERVICE / INFORMED CONSENT

Savings. Junior Cash ISA. Terms and Conditions

Welcome To Our Office

PSYCHOLOGIST-PATIENT SERVICES AGREEMENT [NEW YORK]

AGREEMENT AND INFORMED CONSENT FOR TREATMENT

PSYCHOLOGICAL SERVICES AGREEMENT

Center for Emotional Wellness & Healing, LLC 100 Heritage Valley Rd, Ste. 1, Sewell, NJ 08080

Informed Consent Form

North Carolina Sales and Use Tax Essentials

TERMS OF BUSINESS. We will notify you how to renew in good time prior to the expiry of your policy.

General Mortgage Conditions

Pediatric Physical and Occupational Therapy Services

Critical Illness Cover

Combined initial disclosure document for:

Bookings & Refund Policy

ANNUAL LEAVE, PUBLIC HOLIDAYS AND DISCRETIONARY DAYS GUIDANCE

Peninsula Aquatic Recreation Centre is operated by Peninsula Leisure Pty Ltd ACN ( PARC ). you ceased to hold a valid concession card; or

Basic Current Account Information and Specific Conditions

COMPLETE SOLUTIONS COMPANY PENSION 1

COMPLETE SOLUTIONS COMPANY PENSION 2

SECTION D Holidays and Holiday Pay

CHARITY TERMS AND CONDITIONS

Education, Health and Care Plan Personal Budget: Direct Payment Agreement

Guide for members. Securing tomorrow, today

Summer Adult Strength & Conditioning

Plain English Commercial and Industrial Building Contract

Terms and Conditions. Membership

NHS Pensions - GP locum factsheet

REGULATIONS FOR EXTRA-CURRICULAR ACTIVITIES

Recreational Dance & Acrobatic Class Policies

Thank you for your interest in Palmetto Dance Center!

Mary Holcomb, Psy.D., Licensed Psychologist 125 West Pineview Street, Ste Altamonte Springs, FL (407)

Options for dealing with debt

GAHANNA COUNSELING, LLC

GEORGE P. GLASER, LCSW

Studio Policies

Patient Name: First Middle Last Address: Number Street (Apt#) City State Zip Address: Okay to Statement? Yes No

Protecting Families. Getting the conversation started. Retirement Investments Insurance Health

Schedule of Live Web Workshops Q1 2017

Carers Outreach Service

Health care cash plan

PSYCHOLOGIST-PATIENT SERVICES AGREEMENT

PETER A. POWERS, PH. D. 511 East 12 th Avenue Eugene, OR CLIENT RIGHTS AND RESPONSIBILITIES

PUBLIC RATES 2018 Based on a double room for 2 people

We, act as retail booking agents in respect of all bookings we take and/or make on your behalf.

YOUR VIRGIN MONEY ESSENTIAL CURRENT ACCOUNT. The Terms January 2018

New Client Information Sheet

Health care cash plan

Freedom Snowsports TERMS AND CONDITIONS OF BOOKING

Make one day today with

YourLife Plan Term Assurance Key Facts

Cancer Essentials. Retirement Investments. Insurance Health. Retirementyou. Investments. Insurance. Health. Retirement. Investments.

16-18 Bursary Guidance Notes 2017/18

Terms for Bupa Recognised Speech and Language Therapists

Christina Agustin, MD Board Certified in Adult Psychiatry 1 Lake Bellevue Drive, Suite 101 Bellevue, WA Phone Fax:

LUXPERIENCE 2017 BUYER TERMS AND CONDITIONS

ACCOUNT CHARGES. Your account charges explained

CROWN EMPLOYEES (NSW POLICE FORCE (NURSES')) AWARD 2018

Real Life Cover Key Facts. Total & Permanent disability. Terminal Illness. Specifi ed Critical Illness. Long term sickness. Death

710.%$ %89-1 +!!0 /9., ! " # $% $& ' (

CIRCULAR. No JULY 2007 PRACTITIONER & EMPLOYER TRAINING EVENTS (1) INTRODUCTION (2) THE 2008 SCHEME CHANGES SEMINARS

ALAMEDA County Transportation Commission. Alameda County Transportation Commission GUARANTEED RIDE HOME PROGRAM GUIDELINES

MARCH M T W T F S S

Benefits update. HOW THE CHANGES WILL AFFECT YOU. Rethink Mental Illness. 1

PSYCHIATRY AND FAMILY COUNSELING, LLP Leominster Westborough Worcester

Family Registration Form

Plain English Commercial and Industrial Building Contract

Your banking charges guide.

Setting Financial Goals

Baldwin Counseling Payment Agreement

Helping you to understand our payment and reconciliation processes for your business

Aegon Platform key information document

FAQs Open Enrollment 2014

Provider-Patient Services Agreement

CLAIM FORM FREQUENTLY ASKED QUESTIONS

Protecting Families. Getting the conversation started. For financial adviser use only. Not approved for use with customers.

Changes to Xerox pension arrangements what they mean for you

NHS Pensions The journey of a member

Keri. Connections Family Therapy, LLC. Keri L Christensen LISW 1310 Tower Lane NE, Cedar Rapids, IA 52402

Health Insurance. Explanatory Guide My Healthcare Insurance Program How to proceed. Swiss Residents

Your summary of cover. Car Insurance

ONLINE TRAVEL MONEY TERMS AND CONDITIONS

LUXPERIENCE 2016 BUYER DELEGATE TERMS AND CONDITIONS

INVESTOR PORTFOLIO SERVICE (IPS) GUIDE TO FACILITATED ADVISER CHARGES.

ST. CLOUD AREA SCHOOL DISTRICT 742 GUIDELINES FOR WAGES, BENEFITS AND WORKING CONDITIONS FOR NON-REPRESENTED EXEMPT EMPLOYEES

Personal Independence Payment (PIP) and Disability Living Allowance (DLA)

Transcription:

Therapy Session Structure Sessions take place in pre-arranged locations and home visits are not available, except in exceptional circumstances. In such an instance, it is possible that travel expenses will be charged. Clients will have 50 minutes from the agreed time of their session. Sessions cannot run over, thus if a client is late, they will have the remainder of the 50 minutes available to them and full session cost will still be charged. Cancellation Policy Cancellations with more than 2 weeks notice will not incur a charge. Fewer than 2 weeks notice and more than 48 hours notice and the charge will be 10. If a cancellation is made with fewer than 48 working hours notice then the full session fee will still be charged. Please note: insurance companies do not usually cover the cost of missed appointments. Session day... Tuesday Wednesday Thursday Cancel by... Friday evening Sunday evening Monday evening If cancellations become a regular pattern, the therapist maintains the right to charge for the missed appointments, at least to cover the cost of the room being hired. The therapist will always speak to the client to give advance warning of this change. I will give you as much notice as possible for any planned or unexpected breaks or holidays taken. Sessions confirmation Initial sessions are not confirmed until they have been paid for. Following the initial consultation, sessions are booked in blocks of 6 and will be confirmed by email. Over these sessions, the need will continue to be reviewed and they can be terminated at any point see the Ending for more details. Length of Therapy

The length of therapy can vary and we offer short, medium and long-term work. Some people are looking for a space to gather their thoughts, while others are looking for a space to explore themselves deeply. Some people come with a specific problem and others come with more general questions or needs. During the initial assessment, we will have a conversation about how long the process is likely to take. From there, we will continue to review our goals and progress together. Often, people come to therapy looking for a quick fix or easy solutions. Unfortunately, therapy and change often demand more time than we might hope. It is our ethical responsibility to see you for the fewest sessions possible we will not drag out therapy. Recording Sessions Recording sessions ensures you are getting the best possible service. The recordings are used for practitioner reflection and supervision, only and are held securely. There is a possibility that you will be asked whether they can be used for training purposes, but this will not be done without your express permission. If you are uncomfortable about the idea of session recordings, or would like to know more, please raise it in the session. Contact between Sessions Any contact between sessions, involving emotional or parenting support can be discussed during sessions and will be charged at the hourly rate of 100 pro-rata. In the case of an emergency, clients should contact NHS 111, emergency services on 999 or can speak to the Samaritans on 116123. Email Support between Sessions While there is sometimes need for email contact to arrange appointments, it is not always possible to offer on-going email contact between sessions. If you would feel that you need this additional support, this can be discussed during sessions and will be charged at an hourly rate of 100 pro-rata. Report Writing and Network Liaison Any report writing or contact to other professionals (e.g. GP, psychiatrist, Child and Adolescent Mental Health Services, Schools) will be charged as detailed above. Complaints

If you have concerns about my practice and would like to raise a complaint, you can do that with the Health and Care Professionals Council. More details about this can be found at http://www.hpc-uk.org/complaints/raiseaconcern/howto/. Ending Once a client is accepted for treatment I have an ethical responsibility to accompany the process to the end. Therapy comes to a completion naturally as an agreement between both parties. The client is free to end therapy at any stage. It is advised that at least 2 weeks notice be given prior to ending, however this is not mandatory. Method of Payment Initial sessions are not confirmed until they have been paid for. Self-Funded Payments must be paid by bank transfer no less than 48 hours prior to each session. Payments can be made by cash or cheque at the end of sessions, by prior arrangement. In this instance, the first payment will be a double payment and your final session will not be charged. Bank: Nationwide Sort code: 070436 Account Number: 31715015 Insurance It is the client s responsibility to ensure that the insurance company has agreed to fund the full cost of sessions. Any differences in payment from the insurance company will be incurred by the client. If the insurance company have not agreed to fund the work, the full fee is payable by the client. Please see the cancellation policy further down and note that not all insurance companies will cover the cost of missed sessions if this is the case, the client will be charged the fee. Adoption Support Fund If you are requesting work through the Adoption Support Fund, please ask your Social Worker to contact me to arrange an application. If you choose to start work before your application has been approved, any fees that are not covered by the Adoption Support Fund, will be charged to the client. For families and work with children or young people Further sessions, up to 50 minutes 115 Online

Adoption Support Fund Further sessions, up to 50 minutes 130 For adults Initial consultation, up to 60 minutes 100 Further sessions, up to 50 minutes 100 For individual adults, where there is cause to liaise with other professionals (e.g. GP, mental health services, social care teams) Further sessions, up to 50 minutes 115 Letters and reports are billed at an additional cost. Please note, evening appointments incur an extra cost. Applicable Law and Jurisdiction These Terms and Conditions are governed by the laws of England and Wales and will be interpreted in accordance with the English courts. The English courts shall have exclusive jurisdiction to settle any claim or dispute which might arise out of or in connection with these terms and conditions.

Workshops Workshop Terms and Conditions Fees Adult booking alone Couple or two adults booking together 4 week introductory course 200 300 Method of Payment Your place on the course is not confirmed until full payment has been received. You can pay via PayPal or BACS bank transfer. Bank: Nationwide Sort code: 070436 Account Number: 31715015 Session Structure Sessions will last 2 hours and include a comfort break of up to 15 minutes. The course is made of 4 sessions and each will be based around a theme. There will be opportunities to ask questions and practise the skills you are learning. Sessions will begin at the stated time. If you are likely to arrive late, please inform Dr Maxine Campion beforehand on the contact details above. Entry into the session for late arrivals will be at the discretion of the course instructor. Cancellation Policy Cancellations made up to one week in advance of the start date of the course will receive a full refund. Cancellations within a week of the course start date will not be refunded. The instructor reserves the right to cancel the course. If the course is cancelled, you will receive a full refund. Applicable Law and Jurisdiction These Terms and Conditions are governed by the laws of England and Wales and will be interpreted in accordance with the English courts. The English courts shall have exclusive jurisdiction to settle any claim or dispute which might arise out of or in connection with these terms and conditions.