Adelaide Narrative Therapy Collective

Client Intake Form

Welcome to private professional counselling, narrative therapy and counselling group work with Adelaide Narrative Therapy Collective. This form is to help us connect with you. Engaging in counselling and therapy is a commitment of accountability to yourself, your family and your community.

Confidentiality

All information you share with us is kept confidential. Your basic contact information — name, email and phone number — is kept in our secure booking system Halaxy for appointment reminders and direct contact. Handwritten case-notes are kept separately from Halaxy in locked filing cabinets. We may also need to communicate with your lawyer or other professionals, and if for Family Court processes there is limited confidentiality. We will also gain your consent at the time if necessary.

Your Details

Private Health Insurance

If you have Private Health Insurance, your counselling with Sonja and Pshko may be eligible to receive a rebate. Please select your fund:

Legal (if applicable)

Signature

For Counsellor Use

Your counsellor will complete this section with you at the start of the first session.

Service Confidentiality & Privacy Explained
Subpoenas and Reports Explained (inc. Court)
Fees Explained
Voice/AI Recording Permission Given
Counsellor Credentials | Complaint Pathways
Supervision and Case Consultation Explained

"The problem is not an 'obstacle'; it is the surpassing of the obstacle, a pro-jection."

— Deleuze & Guattari, A Thousand Plateaus (p. 362)

Professional Associations

PACFAAAFTSASPAASWMirson Trust: Pennington Terrace Clinic

We acknowledge the Kaurna people as the traditional custodians of the Adelaide Plains and respect their enduring connection to the spirit and soul of this place. Though imperfect as allies, we strive to keep the past and present lived experience of Australia's First Nations people in the forefront of our minds during every conversation.

Adelaide Narrative Therapy

T: +61 46 883 0881info@adelaidenarrative.com
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