Appointment Request Form
Please complete the form below and we will contact you within 1 business day to schedule your appointment.

Each session is 60 mins.

Package rates are applicable ( 4 Sessions Package at 10% Discount). Refer here for more information. You can inform the staff at the counter if you wish to take up the package when you completed the first session.

Personal Particulars

Counselling Experience

(less than 50 words)

Policies

CONFIDENTIALITY AND CANCELLATION POLICY

Contents of all therapy sessions are considered to be confidential. Video/Audio recording will only be done with the permission of client when required.

Records of the counselling relationship, including interview notes, test data, correspondence, case notes, photographs, video and audio recordings, and other documents, are considered professional information acquired by The Counselling Paradigm and are confidential property of The Counselling Paradigm which will not be released to anyone (whether client or 3rd party).

LIMITS OF CONFIDENTIALITY

Noted exceptions are as follows:


Duty to Warn and Protect

When a client discloses intentions or a plan to harm another person, the mental health professional is required to warn the intended victim and report this information to legal authorities.

In cases in which the client discloses or implies a plan for suicide, the health care professional is required to notify legal authorities and make reasonable attempts to notify the family of the client.

Abuse of Children and Vulnerable Adults
If a client states or suggests that he or she is abusing a child (or vulnerable adult) or has recently abused a child (or vulnerable adult), or a child (or vulnerable adult) is in danger of abuse, the mental health professional is required to report this information to the appropriate social service and/or legal authorities.

Prenatal Exposure to Controlled Substances
Mental Health care professionals are required to report admitted prenatal exposure to controlled substances that are potentially harmful.

Minors/Guardianship
Parents or legal guardians of non-emancipated minor clients have the right to access the clients' records.

Insurance Providers (when applicable)
Insurance companies and other third-party payers are given information that they request regarding services to clients. Information that may be requested includes, but is not limited to: types of service, dates/times of service, diagnosis, treatment plan, description of impairment, progress of therapy, case notes, and summaries.

When the information is subpoenaed by governing authorities
When there is an order from the Court to request for information, we will make reference to the Court's instruction.


CANCELLATION POLICY

Once you have booked a session, and if you fail to cancel a scheduled appointment, we cannot use this time for another client and you will be billed for the entire cost of your missed appointment. 

No appointment reminder will be sent via sms/email/whatsapp. full session fee is charged for missed appointments or cancellations or rescheduling of appointments with less than a 24-hour notice , or if you arrived later than 20 minutes for your appointment unless it is due to illness or an emergency. A bill will be mailed directly to all clients who do not show up for, or cancel or reschedule an appointment with less than 24 hours notice, or arrived later than 20 minutes for the scheduled appointment.

While our professional team is trying our best to assist you, we would like to remind you that priority will be given to those who have made appointments with us.

We will attend to you if you arrive no later than 20 minutes for your appointment, but please note that your session will not be extended beyond the scheduled timing. Your appointment will automatically be cancelled if you are late for 20 minutes or more. 

Thank you for your consideration regarding this important matter.

 

 

 

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