• I consent for myself or my adolescent child to engage in clinical assessment and/or therapy.

• I understand and consent to Dr Dukas making notes, which will be used to formulate a clinical diagnosis and/or psychodynamic understanding of my situation, and to inform a treatment plan.

• I am aware that my personal data will be collected and securely stored and destroyed according to GDPR regulations.

• Therapy is a confidential service. However, if I disclose that I am at a risk of significantly harming myself or others, Dr Dukas will take the necessary steps to maintain my and others’ safety.

 

Emergencies:

• I remain fully responsible for my own actions while I am a patient of Dr Dukas.

• Dr Dukas does not provide a crisis service. I understand that in the event of a medical or mental health emergency, I am to contact my GP, call 999, or attend my local Accident & Emergency department.

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Contact outside of therapy:

• Dr Dukas does not engage socially with clients. Telephone, E-mail, text or WhatsApp communication is to be used to set up/cancel/notify about sudden changes to appointments only. These channels should not be used to discuss therapy content.

 

Termination of therapy:

• Ending is often an important part of therapy. Typically, clinicians and clients agree when therapy is no longer necessary. Your file will then be closed and Dr Dukas will no longer be responsible for your mental health care (until such time that you may decide to re-enter therapy). Should you leave therapy before an agreed upon ending, and/or should you become uncontactable, your file will be closed and therapy presumed terminated after a period of 30 days since last contact.  

 

 

In agreeing to enter therapy and/or undergo assessment with Dr Carla Dukas, I understand and accept the above information as it pertains to me as a patient/client of Dr Carla Dukas. I agree to Dr Carla Dukas gathering, storing, processing, and sharing information relating to my clinical care. I consent to Dr Carla Dukas contacting my next-of-kin and (if required) GP or emergency services in the case of an emergency.

 

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