Counselling Contract
This contract is between you and your counsellor, Steven Smyth-Bonfield, BA (Hons.), Adv. Dip. Int. Couns., MBACP.

In the process of counselling you will engage in a form of psychological or talking therapy that will offer you a chance to address any issues and to feel better.

You will arrange sessions of an hour each, usually weekly, at an agreed rate.

Please read this contract carefully. If you wish to negotiate any changes, Steven will be happy to do so before you submit your responses.

Information about you
Name *
Your answer
Gender *
Date of birth *
MM
/
DD
/
YYYY
Address *
Your answer
Email *
Your answer
Phone number *
Your answer
Cancellation Policy
If you need to cancel or change an appointment, please give Steven at least 24 hours' notice by Email, phone or text. If you do not attend an agreed session, you will still need to pay the full session fee.

Steven will always aim to give you as much notice as possible of any time he is unavailable at the time/day of the scheduled session. In such cases he will always aim to offer an alternative arrangement.

Please tick to confirm that you accept the Cancellation Policy *
Required
Confidentiality Policy
Steven Smyth-Bonfield is registered with the ICO as a Data Controller and complies fully with Data Protection Law, GDPR guidelines and all confidentiality guidelines. Read more in his ICO profile: https://ico.org.uk/ESDWebPages/Entry/ZA240178

Steven Smyth-Bonfield's policy is to keep minimum notes and records. The information he does store includes:

• Personal information such as your name, date of birth, gender, address, phone number and Email
• Your completed counselling contract
• Confidential case notes (describing the main focus of the session with any important information)
• Information for service evaluation and statistical purposes

Crucially, your Personally Identifiable Information is stored separately to any other record-keeping notes. In simple terms, any confidential case notes are anonymised and unlinked to your contact details.

The information above is kept in Google's secure cloud storage. It is fully encrypted, password protected, uses the 2-step verification process and is able to be accessed only by your therapist. Read Google's Privacy Policy here: https://policies.google.com/privacy?hl=en-GB

You can request to see the information held on you and ask for it to be amended or deleted. If you have any concerns about the policy on confidentiality and record-keeping, you are welcome to discuss it fully with Steven.

As part of a counsellor's professional standards, from time to time Steven may need to share some of your information in his sessions with a qualified supervisor, always under a strict confidential and professional framework. The client identity is always kept anonymous.

Steven may have to make exceptions to the general rules of confidentiality in the following circumstances:

1. If he thinks there is a serious risk of harm to yourself or others.
2. Where he cannot contact you and suspects you are in danger. For example, if you had not been seen for several days and colleagues and friends felt concerned, information may be disclosed without your agreement.
3. Where there is a legal requirement to disclose information. This could be because it has been ordered by a court, or because the law requires for information to be passed on without consent, for example under the Terrorism Act 2000 or the Drug Trafficking Offences Act 1986. In the first and second of these cases, Steven would attempt to talk this through with you beforehand if possible.

Please tick to confirm that you accept the Confidentiality Policy *
Required
Online Therapy Policy
Steven Smyth-Bonfield offers online counselling sessions for clients in the UK and overseas. He adheres to the BACP's Code of Ethics for his entire practice, regardless of the client's country of residence.

The therapy is undertaken in accordance with the laws of Steven Smyth-Bonfield’s own country (the UK) and any disputes will be subject to that country’s law.

Online Therapy requires the use of video conferencing software. Currently, Steven Smyth-Bonfield is using Skype for this, which requires the client to have their own account and to download specific software. Please read the Skype section in Microsoft's Privacy Policy for more details: https://privacy.microsoft.com/en-us/privacystatement

Please tick to confirm you accept the Online Therapy Policy
Complaints Procedure
Steven Smyth-Bonfield is a Registered Counsellor with the British Association for Counselling and Psychotherapy (BACP). Any complaints about his work should be made to him in the first instance, where possible. Further advice on complaints procedures can be found from the BACP on 01455 883300.
Marketing
Steven Smyth-Bonfield will never use your personal information to send you advertising materials by email, telephone or mail. Nor will he ever sell or share your data with a third party for any marketing purpose.
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