If you prefer to discuss this in person please leave this section blank. (Please note that for couple consultations, the information in this space will be discussed with you and partner in the joint sessions)
Please list condition, date diagnosed and treatment.
Please list the medication name, reason taken, and the dosage taken per day.
Please provide the name of any current or recent healthcare providers (GP, Specialist, Psychologist, Counsellor, Kinesiologist, Psychiatrist, Naturopath/Homeopath, Physio, Chiro, Osteo, Other) and the date of your last visit.
Under Australian law, counsellors are obliged to maintain client confidentiality.
Information about clients who seek counselling, the nature of the service provided, and the content of the counselling sessions, will not be disclosed without the permission of the client.
There are, however, some circumstances where exceptions apply. Counsellors may be required to disclose communications where the counsellor or practitioner reasonably believes that disclosure is necessary to:
- protect a child from the risk of physical, emotional or psychological harm;
- prevent or lessen a serious and imminent threat to the life or health of the client or other any person, including the threat of suicide; or
- report the commission, or prevent the likely commission, of an offence involving violence or a threat of violence to the client or any other person.
- comply with a law of the Commonwealth or a state or territory. This includes, for example, mandatory reporting of children at risk of harm either physical or emotional under state and territory laws and when client files are subpoenaed by a court of law.
As part of good practice, counsellors are required to undertake professional supervision with qualified and experienced therapists whose role is to guide and advise. Your case may be discussed in these circumstances as part of good case management. Your name will not be disclosed in accordance with maintaining your privacy and confidentiality.