Consent details

The purpose of this consent form is to ensure you are aware of relevant processes and procedures related to seeking psychology supervision services.

Collection and storage of your information

As part of providing a supervision service to you, your supervisor will need to collect and record information that is relevant to your clinical work. This information is retained in order to document what happens during sessions, and enables your supervisor to provide a relevant and informed supervision service. All information is stored securely.

Confidentiality

Depending on the circumstances of your supervision there are situations in which your supervisor may need to discuss their supervision with you including:

  • Liaising with past and present supervisors
  • For placements reviews
  • Concerns regarding your professional practice where a report is required to AHPRA 
  • Discussion with their own supervisor
  • Concerns for your wellbeing 

SMS reminders

SMS reminders are sent approximately 72 hours before appointments. Please do not respond to this reminder as this is an automated service that comes from a computer. If you need to cancel or reschedule your appointment call or email our Support Team (email is preferred).

48 hour cancelling and rescheduling policy

If you cancel or change your appointment within 48 hours, unless there is an emergency you will need to pay the full fee for this session. Regardless of whether an appointment is attended, our supervisors spend time planning client sessions, so we feel it is important that they are remunerated for this time. By giving us more than 48 hours of notice you allow us enough time to offer your appointment to other clients or supervisees who may be on a waiting. 

Fees 

You will have been made aware of your supervisor’s fee prior to booking your first session. If you have any questions about this, you are welcome to speak to our Support Team.

You may wish to consult your accountant about the tax deductible status of your supervision fee, including GST charged.

Payment

Payment is required on the day of your session. You can pay with credit card or EFTPOS.

Telehealth services

Telehealth sessions are any sessions conducted via phone or online video.

Limitations of Telehealth services

The privacy of any form of communication via the internet is potentially vulnerable and limited by the security of the technology used.

A Telehealth consultation may be subject to limitations such as an unstable network connection which may affect the quality of the supervision session. 

Like face-to-face sessions it is important that Telehealth sessions are conducted in a private and confidential space (unless otherwise agreed upon), where you are the only person present.

Completing this form 

If you understand and agree with what is outlined above, please complete this form prior to your session with your supervisor. If you have any questions that you would like to ask before completing the form, please bring these along to your first session and your supervisor will be happy to answer them.

Consent and registration form

    Personal details

    First name

    Surname

    Preferred name

    Date of birth

    Address

    Mobile number

    Email address

    Emergency contact details

    Name

    Relationship

    Mobile number