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Confidentiality Agreement

Thank you for considering us in your difficult time. All discussions and information conveyed, noted, and recorded by any therapist with FHCTS will remain within the confines of the counselling session and the therapeutic relationship will remain confidential, according to the registering bodies (BCACC / CAP / CPCA) guidelines. Consultation may occur between pertinent FHCTS staff and other professionals bound by pre-existing confidentiality agreements to ensure the best possible treatment is given to our clientele. 

 

The following are exceptions to confidentiality:

1.  when disclosure is required to prevent clear and imminent danger to the client or others

2.  when legal requirements demand that confidential material be revealed

3.  when a child needs protection.

The client may not record session(s) unless the engaging therapist provides a written release to the client prior to the session(s). Beyond this limitation, the client may discuss whatever occurred during their counseling to whomever or whenever they like. The confidentiality of the sessions, save what has previously been noted in this document, is up to the client's own discretion.

Concerning Daniel Klassen's Clients:

Each of Daniel’s session's are transcribed and audio recorded to ensure complete and detailed note-taking for his own use. As of January 1, 2024, each of his sessions will, additionally, be video recorded and the full contents of these sessions will be under the supervision of Dr. Randy Johnson, PhD, as Daniel will be entered into the Registered Provisional Psychologist program with the College of Alberta Psychologists.

 

These recordings may be requested by each client for their own purposes when and as they see fit.  Clients will be required to sign a release form with FHCTS prior to receiving this content, via a link to the loud file where they can be viewed. 

By typing in your name, you are agreeing to the details of this Confidentiality Agreement with Freedom & Hope Counselling & Therapeutic Services

Liability Waiver Form

 

Freedom & Hope Counselling and Therapeutic Services (FHCTS) is committed to aiding and supporting those in mental/emotional distress. Our primary goal is to lead an individual or couple into better living, and a deeper relationship with themselves and with others. The nature of this process will often mean difficult emotional issues must be confronted. By signing this document, the signee acknowledges that “positive” change is not guaranteed by FHCTS, and that change is the sole responsibility of the client, as they move towards a positive outcome in counselling.

 

I also acknowledge that I understand that FHCTS will not force change in my life, nor do they guarantee improvement. I acknowledge that the process of finding freedom and gaining hope requires facing fears, hurts and wounding’s from the past - which cause emotional distress in the present, carry into the future until the healing is completed. Such distress is expected in psychological counselling where confusion and deeply entrenched emotional pain are revealed. I acknowledge that cognitive and emotional distress revealed in counselling is my responsibility alone and not caused by FHCTS or any of its members or contributors. I understand that my health, happiness, and healing are my own responsibility, and it is my choice as to how I will deal with the difficult issues brought to light during counselling. I understand I am free to end the therapeutic relationship with FHCTS at any time. I understand that it is my sole responsibility to manage want I do not want to, or cannot face. To the degree FHCTS and I progress in Counselling / Therapy, is the degree I have chosen. 

By typing in your name, you are agreeing to the details of this Liability Waiver Agreement with Freedom & Hope Counselling & Therapeutic Services

Booking

 

Please schedule your counseling sessions at least 24 hours in advance to avoid missed appointments by your therapist due to insufficient notice.

Receipting

 

Typically, receipts are issued to clients during the first or second week of each month. If this timing is not suitable for you, please inform your therapist, and they can provide you with a receipt as needed.

Payment Policy

Please be aware that each "hour" session lasts for 50 minutes. This time allows your therapist to take notes about your session and prepare for the next one, unless they decide otherwise. Sessions may occasionally run longer, especially if the client finds it challenging to recover from discussing difficult subjects. If this occurs, your therapist will inform you of the additional fee (based on your current rate, rounded to the nearest 15-minute mark) and provide you with an email for e-transfer payment within 24 hours of the session ending.

Regarding booking, unless you are in an emergency situation, FHCTS kindly asks that you schedule your sessions at least 2 days in advance. This advance notice helps us prepare for your upcoming session. To book and pay for a session on our website, please follow these steps:

1.  Click on the "Book Now" tab in the menu.

2.  Under "Our Services," select whether you are booking an Individual or Couples/Family Session, and then choose your therapist.

3.  Choose the month, day, and select a time. Click "Next" at the bottom.

4.  You may choose to create an account. Click "Log in" and follow the process. Alternatively, you can skip this step and proceed by filling in your personal details, then click "Book Now."

5.  Fill in the payment details on the next page.

6.  To the right, under "Order summary," click on "Enter a promo code" if your therapist has agreed to a discount due to your financial concerns, as discussed during your consultation. Then, click "Place Order."

7.  You will immediately receive a confirmation of your booking via email. All clients will receive a master receipt for the previous month during the first or second week of each month unless express requested.

 

If you are paying through e-transfer, please book your session with your therapist first. Then, at least 48 hours before your session, send the payment via money transfer to your counselor at either miafhcts@outlook.com or danielfhcts@outlook.com.

Any payments made for scheduled appointments are fully refundable if you cancel your appointment more than 48 hours before the session. Rescheduling sessions between 24-48 hours prior to the original booking time will incur no extra cost. If you encounter difficulty attending your appointment on the day of your session and wish to move it to another time on that day, please contact us by email or text. We will make every effort to accommodate you if our schedule permits. However, if we are unable to do so, your booked session will proceed as planned, whether or not you attend. Cancelled appointments within 24 hours or no-shows will be charged the full session amount, except in exceptional circumstances.

You may be eligible for rate reductions of up to 75% based on your household income, equity, and special circumstances. If you are interested in this option, we suggest discussing it with your chosen therapist before booking your session. Clients on a reduced rate must stay in communication, adhere to the agreed-upon schedule, and attend sessions as agreed. Failure to comply will result in the loss of any rate reduction allowances granted by FHCTS.

Regarding insurance coverage, Daniel is a Registered Provisional Psychologist and a Registered Clinical Counsellor, which are accepted by most insurance plans. Mia is a Registered Professional Counsellor and a Counselling Therapist. To confirm coverage, it is advisable to check with your insurance provider to ensure they accept these designations.

By submitting this form, I am stating that I fully agree with the terms and conditions of the Confidentiality Agreement, the Liability Waiver, and the Payment Policy. In submitting, I am agreeing that I am the person detailed within this form, and that I am seeking a working alliance with Freedom & Hope Counselling & Therapeutic Services

Thanks for submitting!

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