Therapy Agreement
1. Therapist Details
Name: Tim Gibson
Email: tim@timgibsontherapy.co.uk
2. Session Duration
Sessions last for 60 minutes and are charged at £96 per session.
However, if it has been agreed for costs to be claimed through your insurance policy, then you will only be charged for any policy excess, late cancellations or non-attendance fees (see points 3, 4 & 5, below).
3. Session Payment
If you are paying for your treatment privately, payment must be received a minimum of 2 working days before your appointment. Unfortunately, if payment is not made prior to the session then it will not be able to go ahead. If you are claiming through BUPA or another insurance provider, the excess must be paid directly to the therapist on these same terms.
Payments are required at the time of booking, using the online booking and payment system (client portal) at https://timgibsontherapy.co.uk
In other circumstances (e.g., excess payments, appointments scheduled by the therapist) you can make payments by bank transfer, using the below details:
Payee name: Tim Gibson Sort code: ##-##-##
Account number: ########
Receipts or invoices are available on request.
4. Cancellations
24 hours’ notice is required to cancel your therapy session without incurring a charge. If your appointment is on a Monday, please cancel on Friday. If less than 24 hours’ notice is provided, you will be charged half the cost of your session to cover the incurred costs. If a health or insurance company is paying for your treatment, they may make you liable for the charge and your treatment sessions could be suspended dependant on their policy.
I will endeavour to let you know at least two-weeks in advance of any planned absences. However, there may be times when sessions are cancelled due to illness or other unavoidable circumstances, in which case I will contact you to provide as much notice as possible and offer an alternative appointment.
5. Non-attendance
If you fail to attend a session without any notice that session will be charged at the full session rate. If you fail to attend a session at the designated appointment time, I will attempt to contact you by email after 5 minutes, to act as a reminder or to check for any issues connecting for online sessions. I will then contact you by telephone within a 15-minute period. If you fail to respond to calls or emails during that time, then this will be accepted as a “Did Not Attend” (DNA) and the session will be charged at the full session rate.
6. Reviews and progress
We will review sessions regularly approximately every 3 sessions to ensure you feel you are getting the most out of therapy. You are not tied into any commitment, and you can end sessions at any time; although I would encourage you engage in an open discussion with me about that first if possible. If I consider your requirements beyond my competence, I reserve the right to terminate our contract, this will be discussed in the session and suitable recommendations would be provided.
7. Confidentiality
Your therapy and personal information are kept securely using a GDPR compliant online secure system.
To protect you, as my client, to ensure safe and ethical practice, and to maintain my accreditation I am required to have continued training and to engage in regular supervision Therefore I may discuss your case in supervision. I would not use any identifying details. My supervisor will also be bound by the BABCP Code of Practice and confidentiality.
Confidentiality may be broken if I have concerns that you or anyone else is at risk of harm. In these circumstances I will do my best to discuss this with you first in the session and recommendations will be discussed and documented in your notes. If it is not possible to discuss with you first i.e. there is immediate risk identified and you are not contactable, then I will endeavour to discuss this at the following session.
As a fully accredited member of BABCP, I adhere to their ethical framework and guidelines to ensure that you receive a professional and quality service. These standards are available to view at: http://www.babcp.co.uk.
As per the BABCP clinical wills requirement in the event of my incapacitation or sudden death an experienced therapist will be asked to contact you. They will only have access to your name and email address. If you would like to opt out of this support system or want more information, please let me know. The BABCP Clinical Wills Policy can be found here: https://babcp.com/Clinical-Wills
8. Information I collect about you and how it is used
Upon starting therapy, basic personal information will be collected for contact and identification reasons. You may also be asked to complete online forms, including symptom measures. During our therapy meetings, an assessment of your psychological health will be completed, and notes will be taken during sessions. These will include personal and sensitive details about you and your life circumstances. These clinical records are used solely for the delivery of a therapy service to you.
9. Your rights
You have rights relating to the information I hold to verify the accuracy or to ask for them to be supplemented, deleted, updated or corrected. You have the right to request a copy of the information that I hold about you. If you would like a copy of some, or all, of your personal information, please email or write to me via the contact details stated in this agreement. Information will be provided to you within 30 days. You have a right to request the transfer of your data to another individual or company.
10. How long your information is kept for
Your information is kept for the time necessary to provide the therapy service requested, however outside of this I will hold your details and session notes for a period of 7 years following the end of treatment to comply with legal obligations that are placed upon me by my insurers. After this date, all data will be securely deleted.
11. Sharing of data
There may be times where your information needs to be shared with third parties, such as your insurance provider. I will explicitly ask your consent before doing so, and the data will be sent to third parties securely.
12. Security of your data
Information will be kept securely and confidentially in line with the data retention policy as stated above.
13. Lawful basis for processing your information
The lawful basis for my holding and using your information is in relation to the delivery of a contract to you as a health care professional. As an accredited member of BABCP, I operate under a strict code of confidentiality.
14. Complaints
If you are unhappy with the service I provide, please discuss this with me. If you feel unable to do so or I you are not satisfied by my response you have the right to complain to my professional body, the BABCP. Information is available at https://babcp.com/Complaints-and-Concerns-Frequently-Asked-Questions
Declaration:
By signing this document, I am stating that I have read and agree to comply with the terms of this agreement.
