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Counselling Request Form & Agreement About you Name:UCA Student ID:Date of birth (DD/MM/YYY):Today's date:Your campus Canterbury Epsom FarnhamCurrent term time address and telephone number (essential)Home

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How to fill out counselling request and agreement

01

Obtain a counselling request and agreement form from the counselling center.

02

Fill out your personal information accurately, including your name, contact information, and any relevant identification numbers.

03

Write a brief description of your reason for seeking counselling and the issues you would like to address.

04

Indicate your preferred method of communication and availability for sessions.

05

Read and understand the terms and conditions outlined in the agreement section.

06

Sign and date the form, acknowledging your agreement to the terms and conditions.

07

Submit the completed form to the counselling center either in person or through a designated online submission platform.

Who needs counselling request and agreement?

01

Anyone who is seeking counselling services or therapy may need to fill out a counselling request and agreement.

02

This includes individuals who are experiencing emotional or mental health difficulties, facing relationship challenges, dealing with personal trauma or crisis, or even those who simply want professional guidance or support.

03

Counselling request and agreement forms help both the client and the counsellor establish a mutual understanding of the goals, expectations, and boundaries for the counselling relationship.

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What is counselling request and agreement?

Counselling request and agreement is a formal document that outlines the details of counselling services being requested and agreed upon between the parties involved.

Who is required to file counselling request and agreement?

The parties involved in the counselling services, such as the client and the counsellor, are required to file the counselling request and agreement.

How to fill out counselling request and agreement?

The counselling request and agreement can be filled out by providing all relevant information about the counselling services being requested and agreed upon, and ensuring that both parties sign the document.

What is the purpose of counselling request and agreement?

The purpose of counselling request and agreement is to establish clear boundaries, expectations, and responsibilities for both parties involved in the counselling services.

What information must be reported on counselling request and agreement?

The counselling request and agreement must include details such as the names of the parties involved, the scope of counselling services, the duration of the services, and any fees or payment terms.

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