Aernout Zevenbergen · Counsellor in Nyon & Lausanne

English Counselling & Personal Growth

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Counsellor » Practicalities » Informed Consent & Intake Forms

Informed Consent & Intake Forms

At the start of our work together we will need to exchange some information.

From me to you
You have the right to know about essential practicalities about our work together: confidentiality & record keeping, making appointments and rescheduling them, my rates and the sliding scale I use when clients are facing financial difficulties, etcetera.
For these purposes I have an Informed Consent Form, which I ask you to read prior to us working together, and sign latest before before our second session. After our initial chat, I will email you a link to an electronic form for you to read and – if you understand and accept its contents – sign.

If you need a paper version to sign by hand, please let me know and I’ll provide you with one.

From you to me
I will need ask you for some basic details for my admin: name, address, and phone number, mostly.

If you think it is worthwhile, you can also fill in a more detailed Intake Form, with questions about your history, what brings you to counselling, some of your lifestyle choices, information about your education and professional life, and so forth. You can choose what you want to share with me prior to us working together.

Admittedly, it takes a bit of time to fill it in (difficult to say how long as it varies per person, but on average it takes about 15 to 20 minutes), but it also allows us to get to work faster in our sessions.

All forms aren handled by Hushmail; they provide secure and encrypted exchange of information and adhere to the strictest rules.

Lausanne

Rue du Grand-Pont 18
6th floor,
Lausanne 1003
Phone: +41(0)787376590
© Aernout Zevenbergen · Counsellor | 2016 - 2023
Aernout Zevenbergen - Counsellor in Nyon and Lausanne

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