Informed Consent & Confidentiality Agreement for the Provision of Online Counselling Services
Why Children attend Social and Emotional Counselling?
When parents decide to engage their children in counselling, it is often because they have either seen, experienced, heard or child has disclosed information that would merit the need of professional intervention. Social and emotional skills training can lead to improved mental, emotional health and consequently behaviours by helping the child to gain a level of self-awareness. The numbers of counselling sessions the child will have depend on various factors including goals, age, and severity of issues, need for ongoing support, and others. Your counsellor will work collaboratively with you to help you and your child to set and achieve your goals while facilitating growth through social and emotional learning.
Collection and Storage of Personal Information
We maintain records on the content of our sessions, which are stored and kept safe and secure. This is done in accordance with privacy guidelines and the Personal Information Protection Act (PIPA).
Positive Kids Fees
All sessions are 50-60 minutes in length depending on the practitioner. Fees range from $70 to $150 depending on the type of counselling chosen. A standard 50-minute counselling session costs $120 without insurance and $150 with insurance. Costs will vary depending on type of counselling chosen. For instance, a group session with a counsellor ranges from $70-100 depending on how many kids are attending the group. If finances are a concern for you, please discuss this with your counsellor.
Payment is processed online through our online portal on Fridays. *All payment methods must be uploaded prior to your session with your counsellor. ( Failure to do so may result in your appointment being cancelled) We accept all credit cards include debit visa cards as long as you have money in your account. If you wish to change or cancel an appointment, please provide 24 hours notice via email or phone. If you miss your appointment or do not provide 24 hours notice, you will be charged the full amount of the session.
IMPORTANT: Procedural Concerns for Phone and Video Counselling
Due to the nature of these modalities and possibility sessions may be interrupted using our secure online software or with internet connections, it is important to note that you are agreeing to the potential of technical issues. If a technical issue occurs, we will contact you as soon as we can, to either resume the session or reschedule the remaining portion of the session. Although rare, there are times we may not have an internet connection or there may be a client emergency. If we are not online within ten minutes of our scheduled time, you will be given a credit for a session and we will contact you at our earliest opportunity to reschedule.
You can contact us by email at firstname.lastname@example.org or by phone at 866-503-7454. You can reach us by phone during regular business hours, Monday to Saturday, 9am-5pm. We make every attempt to return phone calls as soon as possible, however, if we are in session all day, we may have to return your call the following business day. If you need to contact us between sessions, the best way to do so is by email. If you have an emergency after hours, please call 911, or your local crisis line contact. You may also contact Kids Help Phone at 1-800-668-6868.
All information you share with us is strictly confidential and will not be released without your voluntary and written consent. As part of routine practice, we may, on occasion, consult a clinical supervisor on your case in order to provide you with the best care. Your confidentiality will be strictly maintained and your name will not be used. There are limitations to the confidentiality described above and these include:
– Reporting of suspected child abuse or neglect
– Complying with the requirements of a child protection investigation
– Complying with a subpoena
– Responding to a threat of harm to self or others
Positive Kids is a counselling and training practice; for best practice, all our therapists engage in weekly supervision from an accredited clinical supervisor, who may on occasions join sessions to observe and assist. For training purposes some sessions may be recorded with your consent, such recordings will only capture your voice and/or the therapist’s face. Clinical supervisors share the commitment to confidentiality.
Client confidentiality is of utmost importance, however online communication is not 100% secure. There are risks involved and it is important that you are aware we cannot guarantee your protection. We use software that has increased security, however it is important that you secure your privacy as much as possible. All of our counsellors’ information is secured according to HIPAA policy regulation. If a breach occurs, we will remedy it as soon as it is discovered by taking the necessary steps to recover your personal information, secure remaining information and notify all parties involved immediately. If these risks are of concern to you, in person or telephone counselling are alternative ways to connect with one of our counsellors.
If it appears that your child is imminently about to harm him/herself or someone else, we are ethically and legally obligated to let someone know. More important than the legal obligations, though, are our concerns for your health and safety, and that of those with whom you interact.
All fields are required.