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Personal Details

Emergency Contact

Counselling Agreement

Counselling sessions and fees

Counselling sessions will last for 1 hour, and the frequency of sessions will depend on how often you would like sessions, this could be weekly to monthly, or bi-monthly. Counselling sessions are funded by Victims Services, Initially each person is allocated 22 hours of counselling, although a request for additional hours for counselling through Victims Services is possible if further hours are required.


Cancellations

Should you need to cancel an appointment, please provide a minimum of 24 hours notice. If 24 hours notice is not given, the session will be invoiced through Victims Services as a “no show” and the hour of counselling will be deducted from your total hours remaining.


Confidentiality Policy

Any information you share will be kept confidential unless you give permission to discuss it with another service (e.g., a referral agency). In these circumstances, where possible, you will be asked to sign a “request to release of information” form.


Limitations of Confidentiality:

  1. Professionally mandated supervision

  2. Where there is reasonable concern that the client is in danger of harming themselves or others

  3. Where the client is suspected of, or is responsible for child abuse as per Chapter 16A of the Children & Young Person (Care & Protection) ACT 1998

  4. Where a subpoena has been issued by an Australian Court

  5. Where there is a legal obligation by an Australian Court

  6. Where there is a legal obligation to do so

  7. For auditing purposes


Expectations of Client:

Counselling sessions are available to provide emotional support and guidance, it is expected a mutual relationship of respect will be established. No form of aggressive behaviour or communication will be tolerated, if any such behaviour is displayed during sessions, a warning will be provided, if the behaviour continues, the counselling relationship may be terminated.

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