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Inner Changes Psychotherapy and Counselling

First Name *

Last Name *

Phone *

Your E-Mail Address *

Notes to Business (your address or any special notes about your order)

Item	Quantity	Total
Online Employee Assistance Basic Package (1 Assessment Session and 6 Counselling/Coaching Sessions)		£470.00
Total: £470.00

CANCELLATION POLICY: You accept that if you cancel, reschedule or fail to attend an appointment without giving at least 24 hours notice, you will be charged for the session as if you had attended it.

CONFIDENTIALITY: All information discussed with your therapist remains strictly private & confidential. However, a therapist has a legal and professional obligation to disclose information to the relevant authorities if (a) it is deemed that substantial harm may come to either yourself or others. (b) The court requests information. (c) You disclose information about a serious crime or act of terrorism. (d) If Covid-19 contact tracing is required. (Only your basic contact details will be shared)

If you are actively suicidal or you have a Serious Mental Illness (SMI) your GP and other health professionals involved in your care will be contacted.

DATA PROTECTION: Any personal information collected is used solely to aid in your treatment, manage your appointments, and if you have joined the email list to send you the newsletter. Data will not be shared or used for any other purpose. The only exceptions to this are mentioned in the confidentiality section above. Documents and notes relating to your case will be held securely for 7 years then destroyed.

COVID: (Face-to-face appointments only) If you have recently tested positive for Covid-19 or you've been asked to self-isolate or you are feeling unwell, you agree that you will not physically attend your appointment. You will contact your therapist to let them know and rearrange the appointment, or arrange to attend the appointment online via Zoom instead. If your therapist tests positive for Covid-19 your appointment can either be attended online or postponed.