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🌿 Walk & Talk Therapy 

BEST SELF THERAPY : WIRRAL

– WALK & TALK THERAPY

ADDITIONAL AGREEMENT & CONSENT E-SIGN FORM

.... these are in addition to the terms and conditions of the

General Best Self Therapy Contract

 

 

  • I have requested Walk & Talk Therapy as part of my healing journey.  

  • I agree that I am responsible for setting the walking pace of the Walk & Talk Session.

  • I understand that this is not exercise or workout training, and that while movement may be beneficial, the focus is not about exercise. 

  • I agree to communicate to my therapist if I am uncomfortable physically or emotionally while participating in Walk & Talk Therapy. 

  • I agree to pay the session fee before the Walk & Talk therapy session, either by cash or by BACS.

  • I agree to take full responsibility for physical preparedness for the session (water, sunscreen, proper footwear, cold weather clothing etc…) 

  • I take full responsibility for my medical and physical well-being and will not hold Delyth Cole legally or financially responsible for any medical conditions or accidents that may arise out of our Walk & Talk Therapy. 

  • I agree to seek my GP’s approval before beginning Walk & Talk Therapy, if appropriate. 

  • If I have any medical conditions that would be detrimental to Walk & Talk Therapy, I agree to disclose this and understand my therapist may not to be able to offer this as an option, other arrangements may be offered such as Therapy Room or Zoom counselling sessions. Home visits may be available at therapists discretion.

  • I understand that due to the environment, complete confidentiality cannot be guaranteed, though every attempt will be made to not engage in private conversations when others are in proximity, it is not possible to 100% guarantee that conversations will not be heard by others.  

  • I understand that if my therapist and I encounter a person that I know, I have the right to disclose or not disclose that I am in a therapy session. I understand that my therapist will follow my lead should we encounter a person I know, and my therapist will make every effort to preserve client confidentiality and privacy while conducting my Walk & Talk Therapy. 

  • I understand that if my therapist should come into contact with a person she knows, my therapist will not acknowledge me as a client, or the Walk & Talk Therapy session as counselling to preserve confidentiality.


This is a therapeutic activity and despite the relative informality of the setting and environment, the relationship between client and therapist continues to be entirely professional and is not a social relationship.

 

In the event of inclement weather, the session location can be changed or rescheduled as needed.

 

I have read and fully understand and agree to the above terms of this agreement and consent to outdoor Walk & Talk Therapy under the conditions outlined above and release my therapist, Delyth Cole from liability for risk, injury, or illness.

* Please sign the E-Sign form below

(... have you also read and signed the Best Self Therapy General Therapy Contract?)

Walk & Talk Outdoor Therapy Sessions
Additional Agreement Form & E-Sign

Thank you for signing & submitting!

Best Self Therapy

... with Delyth Cole 

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