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Terms and Policy

Consent for Treatment
Welcome to my practice! This document contains important information about my professional services and business policies. Please read it carefully and jot down any questions you might have so that we can discuss them. When you sign this document it will represent an agreement between us.

Psychological Services
Therapy is not easily described in general statements. It varies depending on the personalities of the therapist and client and the issues that are being addressed. There are many different methods I use in my practice including; hypnotherapy, neuro-lingustic programming, cognitive behavioural psychology, life coaching, transpersonal psychology, trauma therapy, EMDR, root cause therapy, solution focused psychology, and positive psychology. Please feel free to ask about any of these approaches at anytime.

The type of therapy that I practice calls for a very active effort on your part. In order for the therapy to be most successful, you will have to work on things we talk about during our sessions. The therapeutic process is collaborative; your knowledge and life experiences will contribute to the therapeutic change you experience. Throughout the therapy process I will recommend activities or exercises for you to do at home that will contribute to the success you experience. In order for the therapy to be most successful, you will have to work on things we talk about. By signing this document you are agreeing to participate in each session to the best of your ability.

Therapy can have benefits and risks. Since therapy often involves discussing unpleasant aspects of your life, you may experience uncomfortable feelings. On the other hand, therapy has also been shown to have benefits for people who go through it. Therapy often leads to better relationships, solutions to specific problems, significant reductions in feelings of distress, releasing of unwanted habits, and changing of negative thoughts and feelings. However, there are no guarantees of what you will experience.

Sessions
I offer different length of sessions depending on will be most beneficial for you. Please let me know if you have any questions about the types of session I offer.

Therapy involves a large commitment of time, money, and energy, so you should be very careful about the therapist you select. If you have questions about how I work, we should discuss them whenever they arise. If your doubts persist, I will be happy to help you set up a meeting with another mental health professional for a second opinion.

Fees and Payment
I charge $250.00 per hour for appointments and all other professional services. I will break down the hourly cost for periods of less than one hour.

Other services include the creation of personalized hypnotherapy recordings (outside of our sessions), report writing, email support, Skype meetings, telephone conversations lasting longer than five minutes, developing a personalized plan for you outside of our therapy time, attendance at meetings with other professionals you have authorized, preparation of records or treatment summaries, and the time spent performing any other service you may request of me. Payment schedules for these services will be discussed and agreed to when they are requested. Please feel free to ask me about any of these services.

Payment for the session or service occurs at the time it is held, unless we agree otherwise. You will be asked to enter your credit card information online so payment can be processed automatically. You will have access to all your invoices in this secure client area in order to submit your receipts for reimbursement through your insurance company or for tax purposes.

Cancellation
Once an appointment is scheduled, you will be expected to pay for it unless you provide 48 hours advance notice of cancellation or unless we both agree that you were unable to attend due to circumstances beyond your control. If it is possible, I will try to find another time to reschedule the appointment.

Evaluation and Consultation
In order to serve my clients to the best of my ability I believe it is important to engage in a process of evaluation. This evaluation comes from colleagues and clients. I may ask you to complete questionnaires that will help me to determine your satisfaction and progress. These questionnaires will be used to research the effectiveness of services that I provide.

Also, I may occasionally find it helpful to consult other professionals about a case. During a consultation, I make every effort to avoid revealing the identity of my client. The consultant is also legally bound to keep the information confidential. If you don’t object, I will not tell you about these consultations unless I feel that it is important to our work together.

Insurance Reimbursement
You should carefully read the section in your insurance coverage booklet that describes mental health services. If you have questions about the coverage, call your plan administrator. I am happy to provide you with whatever information I can based on my experience. You will be provided with an official receipt with my registration number as a Registered Psychologist with the College of Alberta Psychologists.

If you submit claims online, your insurance company may call me to verify the date and cost of the session. By signing this document you grant me permission to disclose this information.

Contacting Me
My office telephone (403-255-0898) is answered by a confidential voice mail that I monitor frequently, you may also send me text messages to book and reschedule appointments. I will make every effort to return your call on the same day you make it, with the exception of weekends and holidays.

If you are unable to reach me and feel that you can’t wait for me to return your call, contact your family physician, call 911, or visit the nearest emergency room and ask for the psychologist or psychiatrist on call. If I will be unavailable for an extended time, I will provide you with the name of a colleague to contact, if necessary.

Professional Records
I keep treatment records, if you request, you are entitled to receive a copy of your records, or I can prepare a summary for you instead. Because these are professional records, they can be misinterpreted and/or upsetting to untrained readers. If you wish to see your records, I recommend that you review them in my presence so that we can discuss the contents.

Confidentiality
In general, law protects the privacy of all communications between a client and a therapist and I can only release information about our work to others with your written permission. But there are a few exceptions.

1. In most legal proceedings, you have the right to prevent me from providing any information about your treatment. In some proceedings involving child custody and those in which your emotional condition is an important issue, a judge may order my testimony if he/she determines that the issues demand it.

2. There are some situations in which I am legally obligated to take action to protect others from harm, even if I have to reveal some information about a patient’s treatment. For example, if I believe that a child, elderly person, or disabled person is being abused, I must file a report with the appropriate agency.

3. If I believe that a client is threatening serious bodily harm to themselves, or others, I am required to take protective actions. These actions may include notifying the potential victim or contacting the police. If the client threatens to harm himself/herself, I may be obligated to seek hospitalization for him/her or to contact family members or others who can help provide protection.

These situations have rarely occurred in my practice. If a similar situation occurs, I will make every effort to fully discuss it with you before taking any action.

While this written summary of exceptions to confidentiality should prove helpful in informing you about potential problems, it is important that we discuss any questions or concerns that you may have.

Consent for Treatment
By electronically signing this document you acknowledge that you have read, understood, and agreed with the information above. Also, you are indicating that you understand that results vary and you acknowledge that the signed therapist cannot guarantee results. In addition, you are agreeing that you have addressed any concerns or questions that you had with your therapist and you give your full consent to engage in and receive therapy.
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