Client Contract Form


I understand, and have had explained to me, the following:-

  1. Code of Ethics and Practice: The counsellor endeavours to abide by the Code of Ethics, a copy which is available on request.
  2. Confidentiality: Information on, and details of, sessions are confidential. This confidentiality is broken ONLY when I give my written consent, in criminal cases,serious acts of harms to others, or if my counsellor is summoned by A Court of Law.
  3. Length of sessions: Counselling is offered for 50 minutes preferably on a weekly basis for up to 18 months. Counselling is reviewed from time to time between client and counsellor.
  4. Records: Any record of my sessions will be made available to me if requested, with due notice having been given.
  5. Complaints: Any complaint I have about the counselling sessions should first be made to my counsellor, and if necessary, in writing to BACP.
  6. Abusive behaviour by either myself or the counsellor is NOT acceptable.
  7. Cancellation of a session: I am expected to give at least 24 hours notice if I find it necessary to cancel a session.
  8. Cancellation fee: full counselling fee is payable if no notice is made.
    Should the counsellor be unable to attend a session for any reason, the counsellor shall notify me as soon as possible.


Counselling fee:

Individual counselling (initial session) (65min) 10,000
Individual counselling(50min) 8,000
Couples counselling (initial session)(100min) 20,000
Couples counselling(75min)  10,000
   


Counselling Hours:


11:00 - 20:00 (Except Wednesdays)
For enquiries and appointments, please contact the following:

Tel :0422-49-1680

Cell Phone: scmaeda@t.vodafone.ne.jp

Email: scmaeda@eos.ocn.ne.jp