Agreement

For Client’s Aged 16 or Under


Complete this form online, no later than 48 hours before your first session. Your answers may not be saved if you leave this page.


Ruth = Ruth Tarr, an integrative psychotherapist and energy healer, at Holistic Health York.

You, your, I = you, the client.

We, session(s) = you and Ruth working together, and you using any information Ruth gives you.

Adult = the grown-up responsible for you.


When working with Ruth:

Legal Stuff

  1. Ruth has to obey the law of England and Wales.
  2. You are responsible for how you use and understand the session(s).
  3. Your problems or worries may not go away when you work with Ruth.
  4. Your adult will get Ruthโ€™s permission to use or share any information Ruth gives you.

Your Physical and Mental Health

  1. Ruth is not a medical doctor, psychiatrist or psychologist.
  2. You speak to your doctor if your health changes, and you ring 999 in an emergency.
  3. To keep you safe, your adult will update Ruth about your health and disabilities, tell your doctor or therapist that youโ€™re working with Ruth, and cancel your session(s) if youโ€™re ill.

Your Personal Information

  1. Your adult must give Ruth up to date, true personal and health information about you. 
  2. Ruth keeps your information secret and safe, including what you share in sessions.  If Ruth thinks you or someone you talk about could be at risk or in danger, or youโ€™ve talked about something illegal, Ruth can share this information, without your permission. You can read more about this in the Privacy Policy.
  3. Ruth may talk to other therapists and coaches about your life, but will never tell them who you are.  
  4. Ruth can talk to or email your adult about your sessions if you want (you can tell Ruth not to if you change your mind).

Payment

  1. Your adult will pay for your session(s).

Working together

  1. Ruth will agree session times and dates with your adult.
  2. You will have your online session(s) in a quiet, common space like a living room or kitchen.  You need permission from your adult to have sessions in a bedroom.  Itโ€™s a good idea to have your adult close by during sessions in case you need them.
  3. We will talk honestly together.  Ruth will ask you questions and may ask you to do tasks.
  4. Ruth may sometimes cancel a session if Ruth needs to, or if you have drunk alcohol, taken drugs or medicine that changes your behaviour in a session. If Ruth feels you may be at risk Ruth may discuss this with your adult.
  5. When your sessions end, we will talk honestly about how Ruth has helped you.

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Thank you

for completing the Agreement

By typing your Full Name in the box below, Holistic Health York accepts this as your electronic signature.

Warning

By typing I agree in the bow below you are saying “I have read, undertsood and agree to this agreement and the Privacy Policy“.

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