ASHLEIGH DUNFORD-BISHOP

COUNSELLING

Please find below my counselling agreement (contract), terms and confidentiality

Ashleigh Dunford-Bishop

Counselling in Poole, Bournemouth & Online 

Counselling Agreement 

Our counselling agreement outlines the conditions that we agree to when we decide to work together. Please read it carefully, ask for clarification with anything which you are unsure about and please ensure that you fully understand the contents before acknowledging your agreement to adhere to it. 

This contract is between myself Ashleigh Dunford-Bishop and ____________________________ 

Dated: __________________

Client’s Address: 

__________________________________________________________________ 

____________________________________________________

Postcode: ___________________ 

Phone Number(s): 

__________________________________________________________________ 

Email: 

________________________________________________________________________ 

GP Details

_____________________________________________________________________ 

_____________________________________________________________________

Date of Birth: __________________

I agree to work with you in a way which recognises and supports your autonomy. This will include working at your pace and seeking to understand and clarify the issue or issues which are of concern to you and that you are seeking to address. I will regularly review with you our therapeutic work and to work towards a planned, agreed ending wherever possible. 

Sessions last for 50 minutes. We will usually meet once a week. Most people begin with weekly sessions but we will explore what will work best for you. Counselling is for individuals only; no other person will be permitted in the counselling room at any time, for any reason. 

Confidentiality

This is a very important aspect of the counselling relationship. Everything that is discussed within the counselling sessions is kept in the strictest confidence, unless I have reasonable concerns regarding your safety or the safety of others. If issues relating to your safety arise during a session, I will seek to help you to satisfactorily resolve those issues during the session however if there remains convincing evidence that you intend to harm yourself or others, or are at risk of harm from others. I may need to break confidentiality by contacting your GP – or in serious cases the Police, emergency services, or other appropriate third party. 

As a member of the British Association of Counselling and Psychotherapy (BACP) I adhere to their ethical framework and I am required to have regular supervision where I will need to discuss my work from time to time. Where beneficial to therapy, I will make use of supervision in order to support our work together but to do this in a way which conceals your identity and protects your confidentiality. My supervisor is also a member of the BACP and the content of our sessions are confidential and subject to the same ethical criteria as counselling.

Privacy policy 

In addition to the personal and contact details requested at the start of this contract, I also keep brief notes after a session. 

Your data will be stored securely and confidentially and used in a safe and ethical manner, in line with EU General Data Protection Regulations May 2018. Please see my full privacy policy for further information 

Contact between sessions

I invite you to use my mobile phone or email as a way of contact for arranging and re-scheduling appointments. I will respond to you as soon as I am able to within my normal office hours. Communication outside of sessions will be limited to making, changing or cancelling appointments, unless by prior arrangement. I am not able to offer a crisis service, should you need support between sessions, please contact your GP or the Samaritans on 116 123. If you need immediate assistance please visit your local Accident & Emergency department. 

Cancellations 

If you are unable to attend a session, please give at least 48 hours notice, failing to do so will mean the full fee is payable.  Following a late cancellation, the outstanding fee will need to be paid before a new booking is confirmed. 

If you arrive late for your scheduled appointment time, I will see you for the remainder of the time allocated. You will not be entitled to an extended appointment to make up for lost time and the full session fee is still payable. 

In the unlikely event I need to cancel a session, I will notify you as soon as possible and I will offer you an alternative appointment within the same working week wherever possible. 

Fees

Counselling fees are payable at the time of booking. Payments can be made by cash, credit/debit card or bank transfer. Until the fee is paid sessions are not confirmed.  

My current fee is £45 per 50 minute session. 

Charges will be reviewed each year and I will give at least one months’ notice of any increase.

Face-to-Face contact outside sessions

Should you happen to meet me outside of your session please be aware that I will not greet you. This is to protect your privacy and maintain confidentiality. This is especially important if you are with other people. If you acknowledge me openly, then I will respond in an appropriate and professional manner. 

Social media

Please do not invite me to join you on Facebook or LinkedIn. I are not permitted to do so for ethical reasons, and refusal can cause offence where none is intended. However, on Instagram and Twitter I do have professional pages where you may already be a follower. Again, I am not permitted to follow you in return or to react or respond with comments from clients, please do be aware of this when engaging with my content on social media. I do not respond to new enquires or existing clients via Direct Messages and will refer all enquires to my website. 

Endings

You will normally know when you are ready to finish counselling and we can explore this within a session. Wherever possible I will work with you towards a planned, agreed ending for this reason, I ask that you give at least one weeks’ notice before finishing so that you can have the chance to discuss your decision, but there will be no pressure on you to continue with counselling. 

By signing this contract you are confirming your agreement to the following statement; 

In the unlikely event that I become a risk to myself or others during our period of work together, I agree to seek appropriate help and for Ashleigh to take action as appropriate with or without my consent. 

This agreement is fully understood and agreed to and is signed as it stands by:

Client Full Name: 

Signed: 

Date: