Please read carefully before completing this online contact form.

 This online form and/or email will provide me with your name, phone number, email address and any other information you choose to provide about yourself.

Any communications made over the internet cannot be guaranteed as 100% secure. Please bear this in mind when communicating information.  Any information you chose to send using this format is your responsibility.

The information you provide on this form and/or email will only be used when required as part of our professional communications.

GDPR Policy

 I keep clinical records, including general and sensitive data as defined in the General Data Protection Regulation (GDPR) 2018. Records are kept as a reminder during the therapeutic relationship and thereafter in case of court requests. All information is stored and used in accordance with the GDPR.

• In order to give you the best possible treatment I keep manual records, for the purposes of direct care only, of your name, contact details, DOB, GP, medication, medical & psychological health, dates of consultations, relationships, and a brief description of the therapy or treatment given or recommended. It may also include, if and only when relevant to the therapy, information on your lifestyle, racial or ethnic origin, political opinions, religious beliefs, sexual life, criminal proceedings and offences.
• I will not pass your personal information onto any third party
• I will only use your first name in my diary and to identify your payment information.
• I may make anonymised notes for myself e.g. to use during supervision discussions, which will not relate to your personal data and are therefore not covered by the above Regulation.
• I keep records in a locked metal filing cabinet.
• You have a right to view your clinical records.
• I keep manual records for 6 years, as recommended within the counselling profession, after which they are destroyed.
• Regarding contact via mobile phone and email, my appliances are all secure and password protected. Emails are deleted when no longer appropriate to keep them. My landline is a direct number.

Further information

 If you wish to obtain further information about GDPR and your rights, please visit the Information Commissioners Office website on https://ico.org.uk/your-data-matters/ or phone them on 0303 123 1113.