Counselling & Concent Form
Counselling Agreement
This agreement sets out the boundaries and expectations for counselling sessions:
• Sessions: 50 minutes each, usually held weekly.
• Fees: £50 per session but I provide a sliding scale and student discount.
• Cancellations: At least 24 hours' notice required, otherwise full fee may be charged.
• Confidentiality: Sessions are confidential, except in cases of serious harm, safeguarding, or
legal obligations.
• Data: Session notes are stored securely and in line with GDPR.
• Responsibilities: The therapist provides a safe, respectful space; the client agrees to attend
sessions on time and respect boundaries.
• Ending Therapy: Either party may decide to end, ideally with notice to allow for a proper
ending process.
Concent Form
I consent to engage in counselling sessions with Ishaa Saad Shaikh. I understand:
• The nature and limits of confidentiality.
• That my personal data will be stored in compliance with GDPR.
• That I may withdraw consent at any time.
• If engaging in online counselling, I consent to sessions being held via secure video platform.


