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admin@onlinepsychologyandcounselling.com

  • Home
  • Therapy services
    • for health professionals
    • For Educational Professionals
    • for Expats
    • Therapy options and fees
    • Therapy for
      • Stress and Low Mood
      • Physical Health Conditions
      • Tourettes and ADHD
  • Supervision & Training
    • Supervision
    • Training
  • Take a test
    • Take the Anxiety test
    • Take the Depression test
  • About me
  • Research
  • Resources
    • RESOURCES FOR CLIENTS
    • RESOURCES FOR THERAPISTS
      • Online therapy paperwork packet
      • Shop
  • FAQ
  • Contact

Client Details Form

It collects personal details, consent for electronic communications, explains the limits of confidentiality and special arrangements for clients outside the UK.

Client Details Form

It collects personal details, consent for electronic communications, explains the limits of confidentiality and special arrangements for clients outside the UK.

Price: £15

Who is it for?

  • For face to face therapists
  • For online therapists

When is it completed?

This is completed by the client when they first book a session with you.

What does it contain?

  • Personal details
  • GP details and consent to contact them
  • Consent to communications e.g. appointment reminders, answer phone messages etc
  • Next of kin/emergency contact details, a short explanation why I collect that info including limits of confidentiality and special arrangements for clients outside the UK
  • How did you find me? Tracking referral sources
  • Health insurance details
  • Service evaluation: consent for collecting anonymised data for service evaluation and audit purposes

What format does the document come in?

  • Microsoft Word Template: Editable and unbranded so you can add your own branding
  • PDF Template* in Five Colourways (Teal, Orange, Charcoal, Lime, Navy): Editable and unbranded so you can add your own branding
  • Online Psychology and Counselling PDF: Non-editable fully branded example

£15

Item added to cart. Checkout

 * Please note the PDF templates are partially editable. You can insert your logo and company name and fields are available for clients to insert their information. However, as they are PDFs certain formatting features are fixed. You can however fully edit the Word documents which contain identical content.

Documents

  • Audio-Visual Recordings Policy
  • Client Details Form
  • Consent to Share Information
  • Contract for email & phone communication
  • Core Client Pack
  • Data Protection and Privacy Consent
  • Guide to using Ethernet
  • Join a conference call using Zoom
  • Online and F2F Paperwork Packet for Psychological Practitioners
  • Online Therapy Contract
  • Online therapy guides pack £50
  • Policies pack
  • Preparing for your supervision session
  • Preparing for your therapy session
  • Social Media and Communications Policy
  • Supervisee Details Form
  • Supervision pack
  • Terms and Conditions of Therapy

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Dr Alesia Moulton-Perkins

Online Psychology and Counselling Limited.

Registered company in England and Wales (Companies House 10940785)

French micro-entreprise (SIRET 890 582 836 00015)

Registered office address: Online Psychology and Counselling Ltd, Philips House, Drury Lane, St. Leonards-On-Sea, East Sussex, England, TN38 9BA

Legal disclaimer and privacy policy

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