clinical placement documents · students are required to complete 100 hours of client work and 20...
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Clinical Placement Documents
BSc in Counselling & Psychotherapy Counselling 2011/12
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Contents Clinical Placement Modules 2210 & 2312 ................................................................................................ 3
Staff Structure for Monitoring of Client Work .......................................................................................... 4
Contact Details of Staff ............................................................................................................................. 5
Sourcing Clients for Students .................................................................................................................... 6
Appropriate Venues For Counselling ........................................................................................................ 8
Student Readiness..................................................................................................................................... 8
Supervision of Client Work ....................................................................................................................... 9
Provision of Information to Students ..................................................................................................... 10
Working with 16-18 Year Olds ................................................................................................................ 10
Personal Safety ....................................................................................................................................... 10
Insurance ................................................................................................................................................. 10
Administration ........................................................................................................................................ 11
Assessment ............................................................................................................................................. 11
Appendices .............................................................................................................................................. 12
Appendix 1: Student Client Work Contract ......................................................................................... 13
Appendix 2: Client Work & Supervision Record ................................................................................. 14
Appendix 3: PCI LCC Student Log ........................................................................................................ 16
Appendix 4: Supervisor Report Form .................................................................................................. 17
Appendix 5: Confidentiality Form Over 18’s ....................................................................................... 18
Appendix 6: Confidentiality Form Under 18’s ..................................................................................... 20
Appendix 7: Parental / Guardian Consent Form For Minors {under 18’s} to attend for Counselling 21
Appendix 8: Parental / Guardian Consent Release Form ................................................................... 22
Appendix 9: Client Release Form ........................................................................................................ 23
Appendix 10: Client Intake Form ........................................................................................................ 24
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Clinical Placement Modules 2210 & 2312
The purpose of these documents is to outline the client work policies and procedures for students to
adhere in order to meet the requirements of Clinical Placement Modules 2210 {Year 2} & 2312 {Year 3}.
In order to successfully meet the assessment requirements of these modules, {Appendices 1 – 4} must
be completed and returned to the relevant Clinical Placement Advisor at the required intervals.
Students are required to complete 100 hours of client work and 20 hours of supervision.
PCI College strives to ensure best practice in relation to the completion of client work by students.
Client Work is overseen within specific regions by the Clinical Placement Advisor {CPA}.
Please refer to Page 5 for contact details of the CPA in your particular region.
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Staff Structure for Monitoring of Client Work
PROGRAMME LEADER
Linda McGuire
Supervision & Placement Coordinator
Colm Early
Low Cost Counselling Coordinator
Antoinette Stanbridge
Clinical Placement Advisor
Dublin Area Jacinta Harte
Clinical Placement Advisor
Kilkenny & South East Willie Egan
Clinical Placement Advisor
Cork& Limerick Alice Stoat
Clinical Placement Advisor
Athlone & West Gael Kilduff
Students
Clients
Supervisors
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Contact Details of Staff
Coordinators
Name Role Department Telephone Email
Antoinette Stanbridge
Low Cost Counselling Coordinator
C & P 01-4642268
Colm Early Supervision & Placement Coordinator
C & P 087-652 9187
Clinical Placement Advisors
Name Region Telephone Email Jacinta Harte Dublin 087-793
0577 [email protected]
Willie Egan Kilkenny 087 674 9448
Alice Stoat Cork & Limerick 087-798 7073
Gael Kilduff Athlone & West 087-684 7088
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Sourcing Clients for Students
The college ensures that clients are appropriately sourced for students in three ways:
1. Clients are referred directly to students through the PCI College Low Cost Counselling Service. 2. The college also secures a number of Counselling Placements in various organisations for
students. 3. The college supports students to source clients through Community Links the students may have
or be in a position to create with relevant organisations and agencies. Such clients come under
the PCI College Low Cost Counselling Service.
PCI College Low Cost Counselling
Clients are referred directly to students through the PCI College Low Cost Counselling Service. The PCI
College Low Cost Counselling Service is an initiative established and run by PCI College to source suitable
clients for our students in order for them to complete their 100 hours of Client Work. The service is
located in the Greater Dublin Area; Athlone & The Midlands; Kilkenny; Limerick and Cork.
This service offers an alternative to those individuals who cannot afford the fees of a fully qualified
counsellor. Counselling Issues include: Relationships; Life Change; Loss and Separation; Bereavement;
Depression; Stress & Anxiety.
The PCI College Low Cost Counselling Service is advertised nationally and within each region across a
variety of mediums including Internet; Radio; Local and Community Newspapers as well as through the
distribution of flyers and pamphlets to appropriate venues {such as GP’s surgeries; local projects /
initiatives working with vulnerable groups}.
The Clinical Placement Advisor is responsible for referring clients to students through the PCI College
Low Cost Counselling Service.
Counselling Placements
The college secures a number of Counselling Placements with various organisations. Placements are
Coordinated for the college by the Supervision & Placement Coordinator {Colm Early} and within regions
by the Clinical Placement Advisor.
Information regarding existing and new Counselling Placements must be provided to the Clinical
Placement Advisor.
In preparation for client work and in working towards finding a placement, it is important to note that
many placements operate a waiting list system and require that students provide a C.V. and in some
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cases attend for interview.
The Director of Counselling at the placement centre will outline your roles and responsibilities and may
provide a written contract. Many placements request that students consider providing time and
commitment to the project and placement after completing their 100 hours, as many placements are
run on a low cost and voluntary basis. Many former PCI College students remain committed to
supporting former placements and the work of low cost counselling centres.
Community Links
Clients may be sourced outside of the PCI College Low Cost Counselling Service and Counselling
Placements by students who have links / contacts with appropriate agencies in their communities /
workplaces. All such clients must be assessed initially by the Clinical Placement Advisor, who decides
whether particular clients are suitable for students.
The service is advertised through the PCI College Low Cost Counselling Service material. Under no
circumstances should students advertise using their own contact details; all contact details on the PCI
College Low Cost Counselling Service advertising will direct prospective clients to the Clinical Placement
Advisor for assessment. The Clinical Placement Advisor will then refer where appropriate the client to
the student.
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Appropriate Venues For Counselling
All counselling venues in specific regions must be appraised by the Clinical Placement Advisor. Client
Work carried out in relation to the PCI College Low Cost Counselling Service, Counselling Placements and
Community Links are included here.
Student Readiness
Student Readiness to commence Client Work is determined through a collaborative process. Those
involved in this collaboration include the student; the Student Care & Progression Officer; Tutors and
the Clinical Placement Advisor. Feedback from all concerned is collated to determine if a particular
student is ready to commence client work. Students will be notified if the college feels they are
not ready to commence client work.
Readiness to commence client work can vary among students and some may have had previous work
experience of counselling others.
The following criteria can be used as guide indicators of when the trainee may be deemed “ready” to
commence Client Work:
1. Awareness of and ability to discuss one’s own personal qualities and process and how they are
likely to impact on the counselling situation.
2. Awareness of and ability to share one’s relevant strengths and limitations in respect of client
work.
3. Awareness of and ability to share thoughts and feelings about the likely impact of working with
clients on oneself.
4. Self-exploration through self-disclosure and being present with others, using support,
immediacy and challenge.
5. Openness to feedback from peers and trainers and ability to absorb and use such feedback.
6. Demonstration of evidence of developing ability to use your internal supervisor in thinking
about client work.
7. Willingness to explore in supervision one’s difficulties, discomforts, uncertainties, anxieties
about commencing client work.
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Supervision of Client Work
Students must complete a minimum of 20 hours of supervision. Students provide Clinical Placement
Advisors with all details pertaining to their supervision in the Client Work & Supervision Record, see -
{Appendix 2}. Any concerns regarding supervision noted by the Clinical Placement Advisor must be
discussed with the student and, where necessary, the Supervision & Placement Coordinator. Emergency
supervision is provided by the college during the summer months. In the event that a student’s
supervisor is unavailable during this time, students can contact the college for alternative supervision.
Effective March 31st 2010, a Supervisor will only be deemed suitable by the college and IACP if they are
an Accredited Supervisor by IACP or equivalent.
Supervision must also meet the Criteria of Supervision, as outlined by IACP:
“Supervision is a formal mutually agreed arrangement within which the supervisee discusses
work regularly with the supervisor. The term “supervision” encompasses a number of functions
concerned with monitoring, educating, developing and supporting individuals in their counselling
/ psychotherapy work” {http://www.irish-counselling.ie/index.php/code-ethics}
Some Counselling Placements provide in house Supervision. These supervision hours may be used as
required supervision hours if they meet the criteria of IACP outlined above.
Working with clients is both challenging and rewarding and the role of the supervisor is crucial in
developing best practice and in providing support to the trainee counsellor / supervisee.
Prior to the commencement of client work, students must complete at least one meeting with a suitably
qualified supervisor. {Appendix 5} provides a list of possible supervisors. Students may access a
supervisor not on the attached list. It is essential in all cases for students to verify that a supervisor
meets the criteria outlined above.
Some supervisors offer group supervision and work with two or three students together- thus enabling
the student to gain from hearing about the work of their peers and learning from the practical
experience of others. In the case of two trainees in group supervision for two hours, each trainee claims
only one hour and the same for three students for three hours, where only one hour may be claimed by
each student.
A written Supervisor’s Report {Appendix 4} is completed in collaboration with the trainee and submitted
to the Supervision & Placement Coordinator {Colm Early} after each 10 hours of supervision.
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Provision of Information to Students
In addition to these documents, Clinical Placement Advisors facilitate class contact time regarding the
requirements of the Clinical Placement Modules {Modules 2210 & 2312 Parts 1 & 2}. The purpose of
this class contact time is to create a collaborative group forum in which students can explore relevant
aspects of their client work so as to gain insight from each other as well as from the CPA. Class contact
time is facilitated in Years 2 and 3.
Working with 16-18 Year Olds
Whilst Garda Clearance is not currently a legal requirement for Counsellors in Ireland, students should
endeavour to obtain Garda Clearance and are required do so on their own behalf. Students are required
to obtain the written Parental Consent of clients aged 16-18 years. Please see {Appendices 7, 8 and 9}
for the necessary documentation relevant for working with individuals in this age group.
Personal Safety
Students should always to sit closest to the door.
Students should ensure another person is aware they are seeing clients and what time they are due to be finished.
Students should be aware of their own personal safety at all times.
Students should be aware of where the nearest member of staff is should they need assistance.
If a student feels uncomfortable and feels that their personal safety is at risk they should end the session immediately.
Clients should only be seen in the counselling rooms and should never be seen in an isolated setting.
Insurance
Students’ Client Work is insured by the college. This insurance expires on successful completion of the
PCI College Diploma in Counselling & Psychotherapy {i.e. following the relevant Board of Studies
meeting at which the Diploma has been passed}. PCI College Insurance does not extend to client work
carried out in the private residence of either the student the client. Students are not insured to work
with clients under the age of 16 years.
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Administration
Learning to manage the administrative aspects involved in the role of the counsellor is an integral part of
training. Among the many administrative tasks a counsellor must fulfil are note-keeping; client records
and supervision records. As students proceed through their own client work during training, it will be
necessary for to attend to specific administrative details. The Appendices contain the necessary
documentation to be used for the completion of client work.
Assessment
Completion and submission of these forms in {Appendices 1 – 4} at the required intervals is necessary in
order to successfully meet the assessment requirements of Modules 2210 & 2312.
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Appendices
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Appendix 1: Student Client Work Contract
I, _________________________, hereby confirm that I have completed all of the criteria below to
ensure that I am ready to commence Client Work.
Please tick:
I have read the Clinical Placement Documents in detail
I have completed one session of Supervision with an Accredited Supervisor
I have discussed readiness to commence Client Work at my second Student Care Interview in
Year One
I have commenced my Personal Therapy with an accredited Counsellor / Psychotherapist
I am aware that the Clinical Placement Advisor assesses all clients prior to me commencing
Client Work
I understand that clients referred to me by PCI College Low Cost Counselling Service must be
contacted within 48 hours
I understand that Client Work should not commence until all of the above have been
completed and this form has been received by my Clinical Placement Advisor
1. _______________________________________ Student Signature
2. _______________________________________ Student Name
3. _____________________ Date
Please Note It is the responsibility of each student to complete and return this form to their Clinical Placement
Advisor in order to successfully meet the assessment requirements for Modules 2210 & 2312
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Appendix 2: Client Work & Supervision Record
This form is to be completed once Client Work has commenced and submitted to the Clinical Placement Advisor
at the end of Years 2 & 3.
Student Name: ________________________ Group: ________________ Year: 2 3
Student ID Number: _________________________________
Clinical Placement Advisor: _____________________________________________________________________
Part One: Client Work
Source of Clients:
1: Placement
2: PCI Low Cost Counselling Service
Please provide further details relating to relevant source on following pages:
1: Placement
Name of Agency/Organisation: _______________________________________________
Address: _______________________________________________
Contact Person: _______________________________________________
No. Clients:
No. Sessions with Each Client:
Total No. Sessions:
Start Date: / / Day/Month/Year
General Presenting Issues: _______________________________________________
In-Agency Supervisor: _______________________________________________
In Agency Supervisor Name: _______________________________________________
Supervisor Contact Details: Tel: ____-____________ Email:______________________
Supervisor Accreditation / Recognition Body: _______________________________________________
No. Supervision Sessions:
_________________________________________________________________________________________
2: PCI Low Cost Counselling
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No. Clients referred to you:
No. Sessions with Each Client:
Total No. Sessions:
Start Date of Counselling: / / Day / Month / Year
Presenting Issues: _______________________________________________
Location of Counselling Room: _______________________________________________
Cost of Room: € ________
Cost Covered by Client: Yes No
Part Two: Supervision
Name of Supervisor: ________________________________________________
Address: ________________________________________________
Contact Details: Tel: ________________ Email: ______________________
Accreditation / Recognition Body: ________________________________________________
Supervision Start Date: / / Day / Month / Year
No. Sessions Supervision:
No. Counselling Sessions:
Declarations:
I confirm the above details to be true and correct:
Student Signature: __________________________ Date: / / Day / Month / Year
I have read the content of this form and have liaised with the student in the event of any concerns in relation to
the information provided:
CPA Signature: __________________________ Date: / / Day / Month / Year
Please Note It is the responsibility of each student to complete and return this form to their Clinical Placement
Advisor in order to successfully meet the assessment requirements for Modules 2210 & 2312
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Appendix 3: PCI LCC Student Log
To be completed for each client referred to students by the PCI College Low Cost Counselling Service
and submitted at the end of each month
Start Date
Client No.
Client Forename
Presenting Issues No. Sessions to Date
No. None Show
Sessions
Agreed Fee
Total Fees
Received
Total Room Rental
Total Sessions to Date
Please Note It is the responsibility of each student to complete and return this form to their Clinical Placement
Advisor in order to successfully meet the assessment requirements for Modules 2210 & 2312
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Appendix 4: Supervisor Report Form
Name of Supervisor ___________________________ Student ID Number: _______________ Name of Student ___________________________ Student’s Year of Training 1/2/3______ Location{s} of Client Work ____________________________________________________________ Total Number of Clients Seen Total Number of Supervision Hrs Total Number of Client Hours Frequency of Supervision Date when supervision commenced ____ /____ /____ Date when supervision ended ____ /____ /____ _____________________________________________________________________________________________
Students are required to complete 100 hours of client work with a minimum of 20 hours of supervision work. Please complete the Evaluation Form after each 10 hours of supervision in the presence of the Supervisee, using this key to indicate the level of competence demonstrated by the trainee counsellor:
Key: 1: Poor 2: Needs Improvement 3: Satisfactory 4: Very Good 5: Excellent
A: Evaluation of Supervisee’s Counselling Skills: 1. Competence to work with client’s ______ 2. Capacity for empathy ______ 3. Demonstrates acceptance and a non-judgmental attitude ______ 4. Can monitor movement in the counselling process ______ 5. Ability to formulate flexible working hypotheses ______ 6. Awareness of Transference and Counter-transference issues ______ 7. Can distinguish between presenting issues and deeper issues ______ 8. Can enter the client’s frame of reference ______ 9. Understands and maintains confidentiality ______ 10. Keeps satisfactory case notes ______ 11. Upholds the ethical code of a national association of counsellors ______
B: Supervisee’s Response to Supervision: 1. Regular, reliable attendance ______ 2. Openness to using supervision and receiving feedback ______ 3. Capacity for self-reflection ______ 4. Ability to critically evaluate clinical work ______
C: Supervisee’s Professional Competence:
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1. Ability to form and maintain a professional relationship with client’s ______ 2. Interest and enthusiasm in the work ______ 3. Awareness of blind spots ______ 4. Awareness of boundaries in the work ______ D: Particular Strengths of Supervisee: {List three areas of particular strengths} 1:____________________________________________________________________________________________ 2:____________________________________________________________________________________________ 3:____________________________________________________________________________________________ E: Areas of Performance Requiring Improvement: {List three areas needing improvement} 1:___________________________________________________________________________________________ 2:___________________________________________________________________________________________ 3:___________________________________________________________________________________________ F: Overall Performance: Please indicate an overall rating for the student using the above key {1, 2, 3, 4, 5,} ____________ G: Other Comments: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Supervisor: ___________________________________ Date: ___ /___ /___ Supervisee: ___________________________________ Date: ___ /___ /___
Appendix 5: Confidentiality Form Over 18’s
Please Note It is the responsibility of each student to complete and return this form to their Clinical Placement
Advisor in order to successfully meet the assessment requirements for Modules 2210 & 2312
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There are certain areas in which we cannot guarantee complete confidentiality for both legal and ethical reasons: (a) When information given to us by the client indicates that minors (under 18) may
currently be at risk.
(b) When the client is actively suicidal, and a need for a supportive safety net is identified,
to ensure as far as possible, a client’s safety:
E.g. contacting family members, G.P.’s and other relevant people.
(c) When files / notes are subpoenaed by court.
(d) When there is an indication that the client may pose a threat to others:
E.g. Sexual, physical, emotional abuse and neglect of minors by client.
Sexual and physical abuse or assault of adults by client.
Client Signature: ___________________________________ Date: ___________ Counsellor: ______________________________________ Date: ___________
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Appendix 6: Confidentiality Form Under 18’s
There are certain areas in which we cannot guarantee complete confidentiality for both legal and ethical reasons:
(a) When information given to us by the client indicates that minors {under 18} may
currently be at risk.
(b) When the client is actively suicidal, and a need for a supportive safety net is identified,
to ensure as far as possible, a client’s safety.
E.g. contacting family members, G.P.’s and other relevant people
(c) When files / notes are subpoenaed by court.
(d) When there is an indication that the client may pose a threat to others:
E.g. Sexual, physical, emotional abuse and neglect of minors by client.
Sexual and physical abuse or assault of adults by client.
Client Signature: ________________________________ Date: ____________ Parents /Guardians:
Signature 1 ________________________________ Date: ____________ Signature 2 ________________________________ Date: ____________ Counsellor: _______________________________ Date: ____________
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Appendix 7: Parental / Guardian Consent Form For Minors {under 18’s} to attend for
Counselling
STRICTLY CONFIDENTIAL
I / We _______________________________________ {Parent /Guardian], hereby give My / our consent for _____________________________ {My / our son / daughter} of _____________________________________________________________________________________ ____________________________________________________________________________ {Address} To attend ___________________ {Counsellor’s Name} for counselling purposes.
It is also understood that the counseling / play therapy session is strictly confidential to the client i.e. minor and exceptions {as per the Children’s First Act} to confidentiality within the session will be discussed, clarified and agreed prior to commencement of therapy with parent / guardian and client.
Signature: _________________________________________ Client Signature: __________________________________________ PARENT / GUARDIAN Signature: __________________________________________ PARENT / GUARDIAN Witnessed by: _______________________________________ Counsellor / Teacher / Principal Date: ___________________________
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Appendix 8: Parental / Guardian Consent Release Form
I / we __________________________________________ give permission for: __________________________________________ To liaise with other professionals during his / her time working with my / our son / daughter: __________________________________________ Name of Child: _____________________________________________________________ Address: __________________________________________________________________ Date of Birth: _____________________________ Telephone: _____________________________ Signature of Parents / Guardians: _________________________________________________ _________________________________________________ Contact Number: _________________________________________________ Signed: ____________________________
If you require any further information contact PCI College Low Cost Counselling Coordinator
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Appendix 9: Client Release Form
I __________________________________________ give permission for: __________________________________________ To liaise with other professionals during his / her time working with me. Name: ______________________________________________________________ Address: ______________________________________________________________ Date of Birth: _____________________________ Telephone: _____________________________ Signature: _________________________________________________ Date: ____________________________ If you require any further information contact PCI College Low Cost Counselling Coordinator
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Appendix 10: Client Intake Form
Surname: _______________________ Forenames: _______________________ Male____ Female_____ D.O.B:_______ Married [ ] Single [ ] Other [ ] Address: _________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Occupation / School: _______________________ Home Phone: ______________________ Is it ok to leave a phone message on the number given? Yes____ No_____ Family Details: Mother: ________________________________ Father: _____________________________ Siblings, names & ages: ______________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Other significant details: _____________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Family of residence / current relationship{s} Partner / Spouse: ______________________ Length of time with: _________________________ Details: __________________________________________________________________________ ________________________________________________________________________________ Children: _______________________________________________________________________
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Client referred by Self [ ] Other: _________________________________________________________ Name of Doctor: ________________________________________________________________ Address: _______________________________________________________________________ Phone No: _________________________ Medical History: _____________________________ ____________________________________________________________________________________ Medication {s}: ____________________________________________________________________ ____________________________________________________________________________________ Presenting issues: __________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Why now? _________________________________________________________________________ Previous Therapy / Counselling Yes [ ] No [ ] Client understands confidentiality is not guaranteed if there is a threat to life for self {client} or other, in the case of any type of sexual, physical or emotional abuse involving minors. Yes _________________ No_________________ Client agrees for sensitive information to be held on file Yes_____ No_______ All sessions are for 50 minutes to 1 hour in duration. Please attend for your Sessions on time, as time cannot be made up at the end of a session due to other Client commitments. Client agrees to notify cancellation of any session at least 48 hours in advance, failure to do so will result in full payment being due. Yes_______ No_______ Fee agreed €_________ Signed:___________________________________ Date: ___________________ Trainee Counsellor Signature: ____________________________________