Therapy Contract
Signed by myself and client for therapy in person and online - with or without the horses
Rachel Cox
Last Update 2 years ago
THERAPY SESSION AGREEMENT AND FEE AGREEMENT
This Therapy Session Agreement and Fee Agreement (the "Agreement") is entered into on [Date], between [Therapist's Name] ("Therapist") and [Client's Name] (“Client").
1. Services and Scope of Therapy:
The Therapist agrees to provide therapy sessions to the Client in accordance with the agreed-upon schedule and therapeutic approach.
2. Open-minded and Open-hearted Commitment:
The Client acknowledges the importance of approaching therapy with an open mind and open heart, fostering a collaborative and constructive therapeutic relationship.
3. Risk Letter and Assessment:
Prior to the commencement of therapy sessions, the Client agrees to read and sign a risk letter and undergo a risk assessment provided by the Therapist. This is to ensure both parties are aware of potential risks and agree upon appropriate precautions.
4. Allergies to Horses or Farm Animals:
The Client affirms that they do not have any known allergies to horses or other farm animals. If any allergies or sensitivities arise during the course of therapy, the Client agrees to promptly inform the Therapist.
5. Confidentiality:
The Therapist agrees to maintain the confidentiality of all information shared by the Client during therapy sessions, in accordance with applicable laws and professional ethical standards.
6. Fee Structure and Payment:
The Client agrees to pay the Therapist the following fees for therapy sessions:
Individual Session: [Insert Amount]
Couples: [Insert Amount]
[Any additional services and their corresponding fees]
7. Payment Schedule and Plans:
Payment for each therapy session is due at the time of service unless otherwise agreed upon. The Therapist understands that individual financial situations may vary and is open to discussing and establishing reasonable payment plans. Any proposed payment plan must be mutually agreed upon in writing by both the Therapist and the Client.
8. Payment Method:
Payment shall be made by [bank transfer/cash]. Any additional fees or charges related to the chosen payment method are the responsibility of the Client.
9. Late Payment:
In the event that payment is not received by the agreed-upon due date, a late fee of [10%] may be applied for each week the payment is overdue.
10. Fee Adjustment:
The Therapist reserves the right to adjust fees upon reasonable notice to the Client. Fee adjustments will not affect previously agreed-upon rates for existing sessions.
11. Cancellation Fee:
If the Client fails to provide a 24-hour notice for session cancellation or rescheduling, a cancellation fee of 75% may be charged.
12. Termination and Refunds:
In the event of therapy termination, the Client is responsible for payment of any outstanding fees. Refunds for prepaid sessions will be provided on a prorated basis.
13. Confidentiality of Payment Information:
Payment information provided by the Client shall be treated with the utmost confidentiality and will not be disclosed to third parties without the Client's consent.
14. Governing Law:
This Agreement shall be governed by and construed in accordance with the laws of Ireland and the EU.
IN WITNESS WHEREOF, the parties hereto have executed this Therapy Session Agreement and Fee Agreement as of the date first above written.
Therapist:
[Therapist's Signature]
[Therapist's Name]
[Therapist's Contact Information]
Client:
[Client's Signature]
[Client's Name]
[Client's Contact Information]