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Electronic Forms 

Email the link of this form to clients / patients so they can fill it in securely and submit it online at the press of a button. No more bits of paper or paying for additional services. You can also complete the forms online through screen sharing  or in session. Branded to the style and colour of your business. 

We can customise for you your therapy contract, consent form and assessment tools. For larger platforms and websites you can customise your own forms. If you are wondering how the information will be displayed click here. 

the form below is a demo form only no data is collected

Counseling Informed Consent
Client's Rights

  • The client may ask questions on what to expect during and end result of the therapy.
  • The client may decline to proceed the therapy as to the techniques which may be conducted by the therapist.
  • The client may cease to continue therapy anytime, without any impediment and may return to therapy anytime.
  • The therapist has the right to dismiss the client from the course of therapy.
  • The client has the right to review his or her records from the therapist.
  • Right to confidentiality: Within limits provided for by law, all records and information acquired by the therapist shall be kept strictly confidential in accordance to the principles of a doctor-patient relationship. All information will not be shared or revealed to any person, agency, or organization without the prior written consent of the client.
  • The client can raise any concerns and to speak with the therapist immediately of any concerns provided that the therapist is likewise available to discuss matters with the client.
Please check the items that you believe are affecting you
Client Acknowledgement *
First
Last
Address
Address
Zip/ Postcode
City
Country
Do you have anything else to add to this therapy consent form?
Therapist Acknowledgement *