*
*
*
*

CLIENT CONSENT FORM

Here at County Durham Therapies, we adhere to the BACP (British Association for Counselling and Psychotherapy) and the BPS (British Psychological Society) ethical guidelines when handling our client’s personal information. 

we adhere to general data protection regulations as set out in the Data Protection Act (2018).Sessions with your therapist are confidential and any therapy notes are stored safely on encrypted files with the use of pseudonyms to protect the client’s identity. 

Details about your attendance and therapy will not be shared with anyone without your consent. There are some exceptions to confidentiality however:

(1) If the therapist believes that you are at risk of harming yourself or anyone else, the therapist has a duty of care to let someone know. In most cases, this will be discussed with you first. 

(2) It is a requirement that the therapist receives regular supervision for the work that they do. Therefore, the trainee may discuss your therapy with their supervisor who is bound by the same confidentiality as above. 

(3) If you were referred to therapy by your GP, the therapist will communicate your goals of treatment with the person who made the referral, so they are clear about the outcome of the assessment and treatment.

(4) Any questions on confidentiality can be discussed further with the therapist if the client wishes to clarify any of the above statements. 

Please Sign the declaration below to state that you agree to work with your therapist/agree for your child to work with the therapist, and that you agree with the statements above: