Confidentiality Agreement

• Confidentiality Commitment: All information shared in therapy will remain confidential and will not be disclosed without the client’s written consent, except in cases where disclosure is required by law (e.g., risk of harm to self/others, child abuse, legal mandates).
• Minors/Guardianship: Parents or legal guardians have the right to access a minor client’s health information. Age of adult for psychotherapy is 18 years.
• Insurance Providers: Information requested includes description of impairments, dates and times of service, diagnosis, treatment plans, treatment progress, prognosis for improvement, case notes and summaries.
• Supervision & Consultation: The therapist may discuss client cases with a professional supervisor or peers for ethical and clinical guidance. Identifiable details will not be disclosed.

Data Protection & Digital Security

• Limits of Telehealth: If therapy is conducted online, I understand that technology has inherent risks (e.g., data security) and I am responsible for ensuring a private environment.
• Data Collection & Storage: Client records, session notes, and personal information will be securely stored in compliance with the Digital Personal Data Protection (DPDP) Act, 2023 of India.
• Data Usage: Client data will be used solely for therapeutic purposes and will not be shared with third parties without explicit consent.
• Electronic Communication Risks: If therapy involves electronic communication (email, video calls, text messaging), I acknowledge that these mediums carry inherent security risks despite best efforts to ensure privacy.
• Data Retention & Deletion: Client records will be retained for 1 year post-therapy as per professional guidelines. Clients may request access, updates, or deletion of their data unless retention is legally required.

Service Delivery Policy

• Initial Consultation: Before the start of any form of psychotherapy, the first session involves a consultation wherein the therapist understands the context, the reasons for seeking therapy, potential barriers, and the psycho-social and medical factors influencing the client’s mental health. This session helps in building rapport, setting therapy goals, and formulating an appropriate intervention plan tailored to the client’s needs. The therapeutic process starts from the 2nd session onwards.
• Mode of Therapy Delivery: Sessions are conducted in both modalities.
• Online Sessions: Conducted via Google Meet using a link provided at the time of booking.
• Offline Sessions: Clients will be notified separately of the venue (meeting room in co-working space in Gurugram) once the appointment is confirmed.
• Telehealth Considerations: Clients opting for online therapy must ensure a stable internet connection and a private, secure environment.
• Session Duration: Each therapy session lasts approximately 45 minutes.
• Geographical Limitations: Online therapy services are available to clients within India.
• Nature of Therapy: Therapy is a collaborative process aimed at improving my mental health and well-being. I understand that therapy involves discussing personal issues, emotions, and behaviours, and I acknowledge that progress depends on various factors including personal commitment, mental health conditions, and external circumstances.
• Emergency Situations: The therapist does not provide emergency crisis services. In case of a mental health emergency, I will contact my emergency contact, visit a hospital, or call an emergency helpline.
• Termination of Therapy: I understand that I may terminate therapy at any time, and the therapist reserves the right to terminate therapy if deemed clinically necessary.

I have read and understood this agreement. I consent to participate in therapy under these terms.