Client Registration and Consent

Please refer to the Practice Information Sheet for full details on how sessions work, fees, and your rights.

• Consent to counselling. I consent to Storme Brand using counselling and therapeutic techniques in the course of our work together.
• No guarantee of outcome. Counselling does not guarantee a specific outcome. I will not hold Storme Brand liable for outcomes that do not meet my expectations, provided she has worked competently and in accordance with HPCSA ethical guidelines.
• Right to end sessions. I may end counselling at any time. Storme Brand may also end or pause sessions, or recommend referral, if she believes this is in the best interest of the client.
• Confidentiality. Sessions are confidential. Exceptions: risk of serious harm to the client or another person, disclosure of child abuse, or a court order.
• My personal information (POPIA). I consent to Storme Brand collecting, storing and using the information on this form to provide counselling services and maintain records required by the HPCSA. My information will not be shared with third parties except as required by law.
• Online counselling. I confirm I have read and understood the online counselling requirements and limitations in the Practice Information Sheet.
• Jurisdiction. Storme Brand practises under South African law and HPCSA regulation. Any dispute arising from our work together is governed by South African law, regardless of where I am located.