Rosewood Therapy

Counselling Agreement Under 18's Parent and Carer Agreement

Please read carefully and ask any questions you may have before signing.

Welcome to Rosewood Therapy. This agreement outlines the terms and conditions of the counselling relationship between your child (the client) and me, Catherine, your counsellor. I hold a current Enhanced DBS check and full therapeutic insurance as well as being an accredited member of the NCPS.

By signing this agreement, the parent or legal guardian confirms that they have read and understood the terms and are providing consent on behalf of the child.  This agreement covers both face to face, remote and other modes.

The counselling sessions aim to support clients emotional health, personal development, and coping strategies. Sessions will be age-appropriate and child-centred.

Therapist Information

Therapist Name: Catherine Pearce 
Professional Membership: NCPS
Contact Email: catherine@rosewoodtherapy.co.uk
Phone Number: 07359041040
Practice Address: Clee hill, Shropshire

Websitewww.rosewoodtherapy.co.uk

 Therapy Approach

I work integratively, with a solid foundation in person centered therapy, tailoring the therapeutic approach to suit individual needs. 

Session Details

Session Duration: 45 minutes
Session Frequency: Weekly unless otherwise agreed
Location: Will be confirmed during initial call.
Session Fee: £60 per session
Payment Method: Payment should be made at least 24 hours before the session via Bank Transfer to the following account:

Account Name:

Account Number:

Sort Code:

Cancellation Policy: Cancellations made with less than 24 hours’ notice will result in being charged the full session fee. 

Attending Counselling: Counselling works best when attended regularly. By agreeing to this, you commit to: 

Your child attending scheduled sessions or informing the counsellor at least 24 hours in advance if they cannot attend.
Respecting the counselling space and your own emotional boundaries.

Parental Involvement

You are encouraged to support the counselling process. While respecting the child’s confidentiality, I may offer general feedback or discuss progress when appropriate and with the child’s consent.

Confidentiality

Confidentiality is fundamental to therapy. However, there are specific circumstances in which confidentiality may be breached. I will explain when this may happen to your child at the start of the sessions.
- If I believe your child or someone else, is at serious risk of harm.
- If there is disclosure of a child or vulnerable adult being at risk.
- If required by law (e.g., under court order, or relating to terrorism, money laundering, or drug trafficking).
- Disclosures may also be made in supervision, where the childs identity is protected.
In the case of children and young people, confidentiality will be maintained, but you will be informed if there are safeguarding concerns.

Record Keeping

Brief notes are kept after each session for clinical purposes.  These will be anonymized. 
Records are stored securely in line with GDPR and Data Protection Act 2018.
You have the right to access your records upon written request.

I may discuss my notes with my supervisor.  This will be anonymous and no identifiable information will be used.  This is done to ensure that we are keeping your child safe.

Under the General Data Protection Regulations (GDPR) 2018, your child has certain rights regarding their personal information. As a parent or guardian, you are agreeing to the following on their behalf:

Access to notes: Your child has the right to see the notes taken during therapy. This can be done by making a formal request.

Amendments to records: You, as a parent or guardian, can request changes to your child’s records, such as correcting their name or address.

Records for clients under 18: If your child is under 18, their records will be kept for 7 years after they turn 18.

Safeguarding

Rosewood Therapy has a responsibility to safeguard the welfare of children, young people, and vulnerable adults.
If a safeguarding concern arises, I may need to involve external services such as Children’s Services or Adult Social Care. Where possible, this will be discussed with the client and parent or guardian, where applicable beforehand

Termination of Therapy

You or your child may end therapy at any time.
It is beneficial to discuss ending in advance, to allow for a planned and supported closure.
I reserves the right to terminate therapy if the working relationship breaks down or if it is not in the child's best interest to continue.

If a child is aged 16 or over, they can make this decision independently.

For those under 16, they may end counselling if they are assessed as Gillick competent, meaning they fully understand the process and its implications.

Children under 13 cannot legally consent to or end counselling on their own, and a parent or guardian’s involvement is usually required. However, the child’s views will always be taken seriously, and counselling will not continue against their will unless there is a serious safeguarding concern.

In all cases, the child’s wellbeing is our top priority and I will support the child in making this decision and preparing for a positive and supportive ending.

Online/Telephone/Other Counselling

If sessions are conducted online:
A secure platform will be used.  I use Microsoft Teams.
Children should ensure they are in a private, quiet space during the session.
Technical disruptions will be managed fairly and professionally.

I ask that you and your child do not record our session, and I will do the same.

Cameras will be on to ensure a safe space for both.

Telephone counselling will only be completed on the given numbers.

Emergencies and Crisis Support

Rosewood Therapy is not an emergency service.
In an emergency, please contact:
GP or NHS 111

Emergency Services: 999
Samaritans: 116 123
Childline (under 19s): 0800 1111

Complaints Procedure

If you are dissatisfied with the service:
1. Raise the concern directly with me.
2. If unresolved, you may contact my professional membership body NCPS.

 

 

Parent or Carer Under 18s Agreement

Consent To Contact GP If Necessary
I confirm that I have read and agree to the Counselling Agreement for Adults provided by Rosewood Therapy. I understand the nature of the service and my rights as a client*

I also understand that the personal information provided in this form will be collected, stored, and processed in accordance with the UK GDPR and the Data Protection Act 2018, and that it will only be used for the purpose of delivering safe and effective counselling services.*

* Indicates required fields
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