Mindswell Surf Therapy

Consent & Confidentiality Agreement

Definitions of Terms

• Coaching: A goal-focused process to enhance personal and professional development through structured guidance and support.

• Counselling: A therapeutic process to explore emotional challenges, gain insight, and develop coping strategies in a safe, supportive environment.

• Psychotherapy: A deeper, long-term approach to address complex emotional or psychological issues.

• Surf Therapy: A form of experiential therapy incorporating surfing and ocean-based activities to promote mental health and well-being.

• Surf ‘n’ Soul: A holistic program combining mindfulness, movement, and therapeutic practices to encourage personal growth and connection with nature.

Consent and Agreement

Welcome to Mindswell Surf Therapy. This agreement outlines key aspects of your sessions and the terms under which we operate. Please read carefully before providing your consent.

Confidentiality

What you share in our sessions is confidential. However, there are legal and ethical exceptions:

1. If there is a risk of harm to yourself or others.

2. If mandatory reporting laws apply (e.g., concerns regarding child safety).

3. If notes are subpoenaed by a court of law.

In such instances, I will inform you beforehand whenever possible.

Additionally:

• Your therapist may take session notes to ensure consistent and effective support. These notes are securely stored and available for you to review upon request.

• As part of your therapist’s professional registration with PACFA, they attend supervision sessions where they may discuss cases. However, all identifying information will remain confidential.

Consent

Providing consent ensures we can support you effectively within our practices and policies.

Ethics and Professional Standards

Mindswell Surf Therapy operates under the ethical guidelines of the Psychotherapy and Counselling Federation of Australia (PACFA). We comply with all Australian laws, including mandatory reporting and data protection laws, to ensure your safety and privacy.

Cancellation Policy

For details on our cancellation policy, please refer to our Terms and Conditions page. Appointments can be rescheduled within the specified timeframe outlined there.

Answer the following questions.

Physical Activities

Do you consent to participating in physical activities such as surfing, yoga, movement exercises, or other elements of the therapy program?

Yes

No

Personal Health Information

Do you consent to the collection and storage of your personal health information for the purposes of therapy and program delivery?

Yes

No

Program Updates

Would you like to receive updates on future programs, retreats, and services from Mindswell Surf Theraoy?

Yes

No

Cultural Considerations

Are there any cultural considerations or preferences you would like me to be aware of to enhance our sessions?

Your Intentions and Goals

Please share your intentions for our sessions moving forward.

Pronouns

What are your preferred pronouns?

If other, please state what your pronouns are.

Acknowledgment and Agreement

By ticking the box below, you confirm that: • You understand the terms and conditions of our sessions. • You consent to the outlined confidentiality, physical activity, and data collection policies.

I confirm that I have read and agree to Mindswell Surf Therapy’s Terms & Conditions and Consent & Confidentiality Agreement.

Name

Please write your legal name.

First Name

Last Name

Email

Phone

(###)

###

####

If you have any questions or concerns, please reach out to us via the Connect link in the navigation menu.

Thank you for choosing Mindswell Surf Therapy. Together, we can embark on a journey toward growth, resilience, and well-being.