The Therapy Contract Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring customizable and printable samples for your convenience.
Therapy Contract Template UK Editable – PrintableSample
Therapy Contract Template UK 1. Client Information 2. Therapist Information 3. Agreement Details 4. Scope of Services 5. Client Responsibilities 6. Therapist Responsibilities 7. Payment Terms 8. Confidentiality and Data Protection 9. Termination Clauses 10. Acceptance of Terms 11. Declaration and Signatures
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WORD
Examples
[Name of the Client]
[Client’s ID]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
[Name of the Therapist]
[Therapist’s ID]
[Therapist’s Address]
[Therapist’s Phone]
[Therapist’s Email]
This contract outlines the terms of therapy services provided by [Name of the Therapist] to [Name of the Client], starting on [Start Date]. The aim is to promote mental well-being and address the Client’s specific needs.
The Therapist will provide the following services: [Specify the type of therapy, e.g., cognitive behavioral therapy, psychodynamic therapy, etc.], including individual sessions, group therapy, and assessments.
The Client agrees to pay the Therapist a total fee of [Amount] per session. Payments are due on [Payment Schedule, e.g., weekly, bi-weekly].
The Client must provide [Notice Period, e.g., 24 hours] notice for cancellations. Late cancellations or no-shows may incur a fee of [Specify Amount].
The Therapist will maintain the confidentiality of all Client information and comply with GDPR regulations. Exceptions to confidentiality may apply where there is a risk of harm to the Client or others.
Either party may terminate this contract with [Notice Period, e.g., 30 days] written notice. The Client has the right to terminate services at any time but should discuss their decision with the Therapist.
This contract shall be governed by the laws of [Jurisdiction, e.g., England and Wales].
[Signature of the Client]
[Name of the Client]
[Signature of the Therapist]
[Name of the Therapist]
[Name of the Client]
[Client’s ID]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
[Name of the Therapist]
[Therapist’s ID]
[Therapist’s Address]
[Therapist’s Phone]
[Therapist’s Email]
This contract sets forth the agreement for therapeutic services provided by [Name of the Therapist] to [Name of the Client], initiating on [Start Date], focusing on emotional and psychological support.
The Therapist will provide: [Detailed description of services such as assessment, psychotherapy, counseling, etc.], tailored to meet the individual needs of the Client.
The Client agrees to pay [Amount] per session, payable according to the following schedule: [Detail payment terms, e.g., monthly, upfront].
In case of cancellation, the Client agrees to notify the Therapist at least [Notice Period] prior to the appointment to avoid charges. Sessions may be rescheduled only within [Specify Time Frame].
The Therapist agrees to confidentiality except in cases where the law requires disclosure or where there is a risk of harm to the Client or others. The Client is encouraged to discuss any concerns regarding confidentiality with the Therapist.
The services may be terminated by either party with [Notice Period] written notice, or immediately under circumstances that warrant such action. The Client is entitled to receive a summary of the sessions upon termination.
This agreement shall be governed by the laws of [Jurisdiction, e.g., England and Wales].
[Signature of the Client]
[Name of the Client]
[Signature of the Therapist]
[Name of the Therapist]
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