dfsCounselling

As your therapist and as an affiliated member of  *COSCA and a registered member of *BACP I am committed to the responsible, ethical and secure use of any personal information I may hold on you. Any personal information I have will be used to fulfil the counselling contract we will have entered into together.

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This information will be contact information: an email address and/or telephone number; your GP's name and their practice address. I will ascertain whether you are on any prescribed medication.  I may ask about your domestic situation, for example whether you are in a relationship, or whether you have children or have responsibility and care for another dependent. In addition to this I would like to keep brief anonymised notes of our sessions together for my own reference. These paper notes will be kept in a locked cabinet and will be destroyed once our counselling contract comes to an end.

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I will not share any of this information with a third party nor organisation without your prior knowledge and expressed permission, unless there is a legal requirement for me to do so; for example if I discover that there is a child or adult safeguarding issue or a perceived risk of harm, either to yourself or another individual.

 

A breach of confidentiality is when a person shares information with another in circumstances where it is reasonable to expect that the information will be kept confidential.

 

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By signing below you are giving me consent to store the above information for the duration of our work.

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Signed _________________

 

 

Further points for your awareness (please tick when you have read and understood each one);

 

1. You have the right to access, amend or have a copy of any of the data I hold for you.

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2. You can withdraw the above consent at any time.

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3. You can request that the data I hold for you is deleted at any time.

 

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*Counselling and Psychotherapy in Scotland 

*British Association for Counselling and Psychotherapy