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Wade R. Alexander Online Counselling

Wade R. Alexander Counselling

Certified Focusing-Oriented Online Therapist

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Counselling Agreement

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With regard to the counselling relationship, I offer a personalized approach tailored to each client’s unique and individual needs for both short-term and long-term counselling. I ensure that my clients can connect with their authentic selves in the warm and safe private setting of their homes, and I utilize a strength-based humanistic approach grounded in a holistic biopsychosocial perspective. Together we will discuss their unique experiences, thoughts, and feelings; and, at their discretion, we will develop a plan that will best suit their needs. We will also periodically reevaluate the changes that they have made and develop more accurate plans, as required.

This document contains important information about my professional services and business policies. It is important that you read the following information carefully; one signed copy is for my files, and I will provide an additional copy upon request. When you sign this document, it will also represent an agreement between us. We can discuss any questions you have when you sign it or at any time in the future.

Counselling Agreement

With regard to our counselling relationship, I offer a personalized approach tailored to the unique and individual needs of each client in both short-term and long-term counselling. I provide a warm and safe place for my clients to connect with their authentic selves in a private setting and utilize a strength-based humanistic approach grounded in the holistic biopsychosocial perspective. Together we will discuss your unique experiences, thoughts, and feelings; and at your discretion, we will develop a plan that will best suit your needs. We will periodically reevaluate the changes that you have made and develop more accurate plans, as required.

The following are the requirements of counselling. Please check off each one as you read it.

If you are feeling in crisis, dial one of the following crisis lines:

  • 911 if this is an emergency
  • Or the Kamloops Mental Health Emergency Service: 250-377-0088
  • Or the First Nations Help Line: 1-855-242-3310 (24/7 – 365 days - serves all of Canada)
  • Or the Trans Life Line (Transgender Suicide Hotline): 1-877-330-6366
  • Or the BC Interior crisis line: 1-888-353-2273 (24/7 - 365 days)
  • Or the Crisis line: 310-6789 (no area code required)

Afterward, please contact me to arrange an appointment.

I agree that I have read and understand the information above.

Consent for Treatment and Statement of Confidentiality

It is important that you know that your counselling sessions are confidential, restricted only by the Limits of Confidentiality outlined below. In addition, I regularly consult with a clinical supervisor, who is bound by confidentiality, in private supervision sessions on case reviews, case discussions, and video/audio tape reviews. I will keep all communications and records related to your counselling confidential and lock them in a secure place for a maximum of 7 years. Any release of information to any other individual or professional agency will require your written consent and be time limited, and you have the right to withdraw consent at any time. Counselling is voluntary, and you may refuse to participate at any time.

Counselling can provide greater self-awareness, insight, and coping. Counselling may require that you consider exploring difficult topics, or memories, and try new behaviours. These experiences can sometimes lead to stronger than usual emotions. The counselling process will help to manage these feelings; however, this requires cooperation between me and you, as well as your willingness to disclose when emotions become difficult to manage.

Clients should be aware that the counselling process poses certain inherent risks. While we work together, additional problems might surface of which you might have been unaware before counselling. Further, counselling might cause changes in relationship patterns and/or unpredicted responses from individuals in the client family system. Counselling is a collaborative process between me and you, it is not prescriptive in nature.

Limits of Confidentiality

The following practices are very important. Please discuss with me any information that you do not understand.

Please check the boxes to acknowledge that you understand the practices.

Consent

If you wish that I contact other persons or parties to discuss your treatment and coordinate care, please request a Release of Information authorization form from me, and we will discuss any release of information in advance.

I agree that I have read and understand my rights to confidentially as explained above.

Fee Agreement

Services

I provide counselling services to individuals, couples, and families. My clients are of all ages and come from diverse backgrounds with diverse issues.

Individual Counselling: 50 min/hr. $150+GST (50 minutes counselling and 10 minutes administration). 90 min. sessions are available upon request $225/90min. (80 minutes of counselling 10 minutes of administration).

Couples Counselling: 50 min/hr. $175 +GST. The first session may be either 50 min/hr. ($175+GST) or 90 min. ($262.50+GST), depending on the couple’s needs (90 min = 80 minutes of counselling 10 minutes of administration).

The second session may be an individual session ($150+GST) with each partner 50min/hr., and the third and subsequent sessions as a couple are 50 min/hr. ($175+GST) or 90 min. ($262.50+GST), depending on their needs (90 min = 80 minutes of counselling 10 minutes of administration).

In addition, I might recommend that you complete a research-based online questionnaire as part of the assessment process. You may be charged the fee for completing the questionnaire. If you terminate treatment at any point during the assessment process and resume at a later date, the fee will be added to the next session’s fee.

Family Counselling: 50 min/hr. $200 +GST: May require individual sessions with each family member ($150+GST for 50 min/hr.) and family sessions ($200+GST for 50min/hr., or $300+GST for 90 min.), depending on their needs (90 min = 80 minutes of counselling 10 minutes of administration).

Payments

I am an approved provider with some insurance companies or managed-care companies that I might be able to bill directly for you. You will need to contact your insurance company if you are seeking reimbursement for my services, and they can help you coordinate these benefits.

Payment by e-transfer is acceptable at the time of the session. A receipt will be provided upon receipt of payment.

It is an important benefit to society in general that every person have an opportunity to access counselling support. Therefore, we might respectfully negotiate a sliding scale depending on the circumstances but limit the sessions to be mindful of the need to avoid causing unnecessary distress for the individual. We will reevaluate the fees and circumstances at the eighth session, when we also reevaluate the counselling goals.

I agree that I have read and understand the fee structure.

Intake Form

Contact Information

In Case of Emergency

E-counselling Contacts - In Case of Emergency

I agree that I have read and understand the emergency contacts information and give my consent for Wade R. Alexander to contact the above person(s) in the event of an emergency.

Referral Information

Identifying Information

Counselling History

Brief Health History

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Canadian Association of Marriage and Family Therapy LogoA designation of BC Association of Clinical Counsellors

Wade R. Alexander Counselling

Registered Clinical Counsellor (RCC).
Canadian Certified Counsellor (CCC).
Registered Marriage and Family Therapist (RMFT).
Focusing Oriented Therapist (FOT).

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I respectfully acknowledge that my home and workplace are within Secwépemc'uluc; the ancestral, traditional, and unceded territory of the səˈxwɛpməx (Secwépemc) peoples.

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