The Counselling Agreement Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring editable and printable examples to suit your needs.
Counselling Agreement Template UK Editable – PrintableSample
Counselling Agreement Template UK 1. Client Information 2. Counsellor Information 3. Agreement Details 4. Scope of Services 5. Client Responsibilities 6. Counsellor Responsibilities 7. Fees and Payment Terms 8. Confidentiality and Data Protection 9. Cancellation and Rescheduling Policy 10. Termination Clauses 11. Signatures and Agreement 12. Declaration and Signatures
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WORD
Examples
[Name of the Client]
[Client’s ID]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
[Name of the Counsellor]
[Counsellor’s ID]
[Counsellor’s Address]
[Counsellor’s Phone]
[Counsellor’s Email]
This agreement outlines the terms and conditions for counselling services provided by [Name of the Counsellor] to [Name of the Client], effective from [Start Date].
The Counsellor will provide the following services: [List specific services such as individual counselling, group therapy, and support sessions].
The Client agrees to pay the Counsellor a total of [Amount] per session, with payments due on [Payment Schedule, e.g., at each session or monthly].
The Client must provide [Notice Period, e.g., 24 hours] notice for any cancellations or rescheduling; otherwise, the full fee will be charged.
The Counsellor agrees to maintain the confidentiality of all Client discussions and will only disclose information under legal obligations or with the Client’s consent.
The Counsellor will not be liable for any indirect, incidental, or consequential damages arising from the provision of counselling services.
This agreement may be terminated by either party with [Notice Period, e.g., 30 days] written notice if the therapeutic relationship is deemed ineffective.
[Signature of the Client]
[Name of the Client]
[Signature of the Counsellor]
[Name of the Counsellor]
[Name of the Client]
[Client’s ID]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
[Name of the Counsellor]
[Counsellor’s ID]
[Counsellor’s Address]
[Counsellor’s Phone]
[Counsellor’s Email]
This agreement describes the expectations and responsibilities of both parties regarding counselling services to be provided from [Start Date].
The Counsellor will provide services including but not limited to: [Detailed list of services such as cognitive behavioural therapy, stress management techniques, and emotional support].
The Client agrees to pay the following fees: [Specify amount per session, duration of sessions, and any applicable sliding scale options].
The Client is expected to attend all scheduled sessions and engage actively in the counselling process.
In case of emergency, the Counsellor can be reached at [Counsellor’s Emergency Contact Information] and will take necessary steps to address the situation.
The Client and Counsellor agree to review the effectiveness of the counselling process every [Specify Time Frame, e.g., month] and adjust the approach as necessary.
[Signature of the Client]
[Name of the Client]
[Signature of the Counsellor]
[Name of the Counsellor]
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