Therapy Agreement Template UK

The Therapy Agreement Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring customizable and printable samples.

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Online – Template

Sample

Therapy Agreement Template UK

Editable – Printable

PDF – 1 PDF – 2

Therapy Agreement Template UK

1. Client Information



2. Therapist Information



3. Agreement Details


4. Scope of Services

5. Client Responsibilities

6. Therapist Responsibilities

7. Session Details

8. Payment Terms

9. Cancellation Policy

10. Confidentiality and Data Protection

11. Termination Clauses

12. Signatures and Agreement

13. Declaration and Signatures



PDF

WORD

Examples

Therapy Agreement Template UK (1)
Between:
[Name of the Client]
[Client’s ID]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
And:
[Name of the Therapist]
[Therapist’s ID]
[Therapist’s Address]
[Therapist’s Phone]
[Therapist’s Email]
Introduction:
This agreement outlines the terms and conditions for therapy services provided by [Name of the Therapist] to [Name of the Client], commencing on [Start Date], aimed at supporting mental health and well-being.
Clause 1: Scope of Services
The Therapist will provide the following services: [List specific services such as individual therapy, group therapy, and assessment services].
Clause 2: Fees and Payment Terms
The Client agrees to pay the Therapist a total of [Amount] per session, with payments due on [Payment Schedule, e.g., after each session or monthly].
Clause 3: Cancellation Policy
The Client agrees to provide [Notice Period, e.g., 24 hours] cancellation notice, or risk incurring a cancellation fee of [Specify Fee, e.g., full session fee].
Clause 4: Confidentiality
The Therapist agrees to maintain confidentiality of all Client information in compliance with GDPR regulations, with exceptions as defined by law.
Clause 5: Termination
This agreement may be terminated by either party with [Notice Period, e.g., 2 weeks] written notice under agreed conditions.
Signed in [City], [Date].
Sincerely,
[Signature of the Client]
[Name of the Client]
[Signature of the Therapist]
[Name of the Therapist]
Therapy Agreement Template UK (2)
Between:
[Name of the Client]
[Client’s ID]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
And:
[Name of the Therapist]
[Therapist’s ID]
[Therapist’s Address]
[Therapist’s Phone]
[Therapist’s Email]
Introduction:
This agreement specifies the terms under which [Name of the Therapist] will provide therapy services to [Name of the Client], commencing on [Start Date], focusing on emotional and psychological support.
Clause 1: Description of Services
The Therapist will offer the following services: [Detailed list of services, e.g., cognitive-behavioral therapy, anxiety management, and relationship counseling].
Clause 2: Payment Schedule
The Client agrees to pay [Amount] for each session, with all payments due at the end of each session or according to a monthly billing cycle.
Clause 3: Rights and Responsibilities
Both parties agree to promote an atmosphere of trust and respect, ensuring ethical conduct and collaboration towards the Client’s goals.
Clause 4: Insurance and Liability
The Therapist shall maintain professional liability insurance and adhere to all relevant ethical guidelines and legal requirements.
Clause 5: Dispute Resolution
In the event of a dispute, both parties agree to engage in mediation before pursuing further legal remedies.
Signed in [City], [Date].
Sincerely,
[Signature of the Client]
[Name of the Client]
[Signature of the Therapist]
[Name of the Therapist]

Printable

PDF – 1 PDF – 2

Therapy Agreement Template UK