Rosewood Therapy

Counselling Agreement For Children and Young People Remote Working

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

 

This agreement explains how counselling works between you (the young person) and me, Catherine, your counsellor. It’s important that you and your parent or carer understand what to expect.

I am a qualified counsellor with an Enhanced DBS check, full insurance, and I’m an accredited member of the NCPS (National Counselling and Psychotherapy Society). I'm here to listen, support you, and work with you safely and respectfully.

About Your Counsellor

Name: Catherine Pearce
Membership: NCPS (Accredited)
Email: catherine@rosewoodtherapy.co.uk
Phone: 07359 041040
Location: Clee Hill, Shropshire
Website: www.rosewoodtherapy.co.uk

How I Work

I use different types of counselling approaches, mostly based in person-centred therapy. This means I’ll tailor how we work to best support you and your individual needs.

Session Information

Length: 45 minutes

Platform: Microsoft Teams

How often: Usually once a week (we can talk about what suits you)

Where: In person or online – we’ll decide together

Cost: £60 per session

Payment: We’ll discuss this in your first chat

Cancellations: Please give at least 24 hours’ notice. Late cancellations may still be charged.

Confidentiality (What We Talk About)

What you say in counselling is private. But sometimes I may need to share something if:

You or someone else is in danger or at serious risk of harm

A child or vulnerable adult is being hurt or is unsafe

I’m required by law (e.g. court order, or serious crimes)

I also talk to a professional supervisor about my work, but I never use your name or anything that could identify you.

For young people, I won’t usually share details with your parent or carer unless I believe there’s a safeguarding concern. If I do need to share something, I’ll try to talk to you about it first.

Notes and Record Keeping

I write brief notes after sessions to help me remember what we talk about.

These are kept safely, with no full names, in line with GDPR and the Data Protection Act 2018.

You (or your parent/carer) can ask to see your records by making a written request.

Our sessions will not be recorded and I ask the same from you.

Safeguarding

I have a duty to help keep children and young people safe.
If I’m worried about your safety, I may need to speak to people like Children’s Services. I will always try to let you (and your parent or carer) know first, unless doing so would put someone in danger.

Finishing Counselling

You can choose to stop counselling at any time.
It’s best if we talk about it in advance so we can end in a positive, supported way.

I may also stop sessions if it’s no longer helpful for you, or if I feel another service would be more suitable.

Online or Phone Sessions

If we meet online or by phone:

We’ll use a secure platform Microsoft Teams

Try to find a quiet, private space where you feel safe to talk

If something goes wrong with the tech, we’ll find a fair solution

You (and your parent/carer) will also be asked to complete an online consent form

I will ask you not to record the sessions and neither will I

Telephone sessions will only be done on approved numbers

Emergencies

I’m not an emergency service. If you're ever in crisis or need urgent help, you can contact:

NHS 111 or your GP

999 for emergencies

Samaritans: 116 123

Childline: 0800 1111 (free, confidential support for under 19s)

If You’re Unhappy

If you’re not happy with counselling:

Please talk to me so we can try to fix things

If it still feels unresolved, you (or your parent/carer) can contact my professional body, NCPS

I understand that by checking this box I am agreeing to online sessions with my counsellor.*
By ticking the box, you agree that Rosewood Therapy can safely collect and store your information. This helps us give you the right support during counselling. *

I understand that the personal information I give in this form will be collected, stored, and used safely, following the UK GDPR and the Data Protection Act 2018. This information will only be used to help provide safe and appropriate counselling support.*

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