Welcome to ADIQURE. This letter provides important information about your rights and responsibilities as a client in counseling, as well as the nature of the counseling services you will receive.

Your agreement indicates that you understand and accept the terms below. Please feel free to ask any questions about this document before proceeding.

Purpose of Counseling: Counseling aims to provide support, coping strategies, and a space for personal growth and emotional well-being. It can involve talking through problems, identifying goals, and developing strategies to improve your mental health and overall quality of life. The process may involve discussing difficult topics and emotions, which can sometimes lead to discomfort. However, the goal is to work toward positive change.

Risks and Benefits: While counseling can be beneficial in many ways, including improved emotional health and enhanced relationships, it may also bring up unpleasant emotions. It is important to understand that progress may take time, and results are not guaranteed.

Confidentiality: Your privacy is very important to us. Information shared during counseling sessions is confidential and will not be disclosed without your written consent, except in the following circumstances:

• You are a danger to yourself or others.
• Suspected abuse or neglect of children, elderly individuals, or other vulnerable persons.
• A court order requires disclosure of information.
• Consultation with another health professional is necessary for your care.

In these cases, only essential information will be shared to ensure your safety or the safety of others.

Record Keeping: Records of your counseling sessions will be securely stored in accordance with professional guidelines. These records include the date of your session, topics discussed, and interventions used. You have the right to access your records upon request.

Session Length & Fees:

• Session Length: Each counseling session lasts approximately 1–2 hours.
• Fees: The cost of each session is Rs.1000 per hour. Payment is expected after the service unless otherwise agreed upon.
• Cancellations: Please notify us at least 24–48 hours in advance if you need to cancel an appointment. Failure to do so may result in a cancellation fee.

Voluntary Participation: You have the right to end counseling at any time. Counseling is a voluntary process, and you are free to discontinue at any point without penalty.

Contact Between Sessions: If you need to contact your counselor between sessions, you may message or email at the provided contact information. While immediate responses cannot be guaranteed, every effort will be made to respond within 24 hours or the next business day.

Telehealth Services: If counseling is conducted via telehealth (video or phone sessions), the same confidentiality and ethical standards apply. Please ensure you are in a private and secure location for these sessions.

Consent for Treatment: By clicking "I Agree," you confirm that you have read and understood the information provided in this consent form and agree to participate in counseling under the terms outlined above.

Counsellor: Rajani Patil
Counselling Psychologist & Mental Health Counsellor