Partner/Third-Party Payor Consent to Counselling Services:
Let's begin your journey of healing!
We’re honoured to support you on this path. Please note that psychological counselling is conducted in accordance with the agreements below and all applicable laws. These agreements will be thoroughly discussed and signed prior to the start of counselling. If you have any questions or need clarification at any point, don’t hesitate to reach out to your Psychologist or Counsellor for guidance or clarification.
Please note that, unless you were emailed a direct link to this form, you are almost certainly at the wrong form and should complete our Full Consent Forms. This form mainly exists to accommodate a very specific subset of our clientele (mostly comprised of first responders and relief organizations) where counselling will be 100% funded by a third party or partners of those who have already completed the full forms.
For partner or third-party payor in-office or virtual/remote counselling sessions, you will need to complete only two forms: our Standard Consent and our Virtual Therapy Consent. (Our credit card authorization form is not necessary.)
To provide the highest standard of privacy currently available, we exclusively promote the use of Wire for our Virtual Therapy sessions.
Additionally, please be aware that we require at least 48 hours’ notice for any cancellation or schedule changes. If a session is missed without proper notice, our standard session fee for the missed sessions may be applied. This policy is not intended to be punitive. It is in place to ensure that we can continue to offer timely services to all who need them. Thank you for your understanding.