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Free Counselling Administration Fee
R
20,00
R
Name
*
Surname
*
Email
*
Age of Client /'s (18+)
*
Please note you must be over 18 years of age to access this service. No adult may request or arrange a session on behalf of a minor. If this occurs, the session will be terminated immediately.
Confirm Age
*
I confirm that I am over 18 years of age and agree that these services are not intended for minors.
I Confirm I am South African
*
YES
NO
Gender Preference of Counsellor
*
Male
Female
No Preference
WhatsApp Number
*
We Use WhatsApp video as the compulsory platform
Which language do you prefer to be counselled in
*
English
Afrikaans
isiZulu
isiXhosa
Sesotho
Setswana
Other
Agreement
*
I understand and agree that all sessions are conducted exclusively via WhatsApp Video. No telephonic calls, WhatsApp chat, email, or any other platforms are used.
I acknowledged that I am aware that I am receiving counselling by a student, who is currently completing practical hours and is under supervision.
I have consented to this and understand it is a free session.
Personal particulars are disclosed voluntarily by myself and will form part of a confidential file which remains the property of the counsellor.
Neither student counsellor nor CMT will be held liable any negligence
I understand that all information shared is confidential, with the following exceptions: if I am in clear and imminent danger to myself or others; if there is a chance that I may engage in dangerous conduct; or if there is reasonable suspicion that a child or elder has been, or is being, abused. In such cases, the information will be reported to the SAPS and/or the relevant child protection services.
I understand that the student counsellor will be receiving supervision where information pertaining to my session may be discussed. My name and identity will remain confidential.
The student counsellor cannot be asked to provide any formal or informal reports, psych - legal assessments reports, evaluative statements, psychological assessment reports and cannot participate in any legal proceedings whatsoever.
The student counsellor will not be able to provide a absenteeism letter or any other HR related forms
I understand that once I have adhered to all the requirements above, I will qualify to receive up to 5 free online sessions for myself.
I acknowledge that I may access the Free Online Counselling service once per calendar year. I understand that I may only register for and use the service again after 12 months. If I register again within the same year and this is identified by Counselling Matters, my R20 registration fee will be forfeited.
I understand that if I register between Friday and Sunday, the 48-hour processing period will only commence on Monday at 8:00 AM.
Free Counselling Administration Fee quantity
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Category:
Free Counselling
