Kate will be happy to discuss your needs in a free 15-minute telephone consultation or email, to see whether a first appointment is appropriate for you. If it is felt that some sessions would be useful, you will be sent some preparatory documents.
Client Contact & Background Information Form
In preparation for your first therapy session, we ask that you complete a brief Client Contact & Background Information form. This helps ensure we provide therapy that is safe, ethical, and effective. The information you provide will be handled confidentially in accordance with UK GDPR and the Privacy Notice provided by KAMED Limited (trading as Meredith Therapies).
Information we request:
Why this information is requested:
The information requested is necessary for us to offer you the most appropriate and ethical care. It ensures that we are able to:
Please note:
Accessing the form:
All information is handled confidentially and in accordance with UK GDPR and the Data Protection Act 2018. Further details are set out in the Privacy Notice.
Client Contact & Background Information Form
In preparation for your first therapy session, we ask that you complete a brief Client Contact & Background Information form. This helps ensure we provide therapy that is safe, ethical, and effective. The information you provide will be handled confidentially in accordance with UK GDPR and the Privacy Notice provided by KAMED Limited (trading as Meredith Therapies).
Information we request:
- Personal Details: We collect your name, contact details, and preferred method of communication (email, phone).
- GP & Emergency Contact Details: We ask for your GP's contact details and the name and contact of an emergency person in case of concern about your safety or wellbeing.
- Health Information: You are asked to provide brief details of any relevant physical or mental health conditions or medication.
- Previous Therapy/Counselling: We may ask about any previous therapy or counselling you have received.
- Payment & Invoicing Details: We ask who will be paying for the therapy sessions and for the email address where invoices should be sent. If someone else is responsible for payment, they are asked to contact the therapist in advance of the first session.
- Gender and Pronouns (Optional): You are invited to share your gender assigned at birth and current gender identity, as well as pronouns you use (optional). This helps us communicate with you respectfully and appropriately.
Why this information is requested:
The information requested is necessary for us to offer you the most appropriate and ethical care. It ensures that we are able to:
- Provide a safe and effective therapy experience
- Meet professional and legal obligations
- Support respectful communication, particularly around gender identity and pronouns
Please note:
- All information you share is confidential and will only be used in connection with your therapy.
- You are not required to provide certain information (such as gender identity or pronouns) if you feel uncomfortable doing so.
- If you are concerned about confidentiality, please let us know if you would prefer that we communicate in a different way.
Accessing the form:
- The form will be sent to you by email upon booking.
- Completed forms can be returned by email prior to your first session.
All information is handled confidentially and in accordance with UK GDPR and the Data Protection Act 2018. Further details are set out in the Privacy Notice.
Contact and CommunicationClients are asked to provide a preferred email address and to confirm whether it is safe to receive appointment information and invoices at that address. Alternative arrangements can be discussed where confidentiality may be a concern. Therapy is provided in the English language only. |
EQUALITY, DIVERSITY AND INCLUSIONKAMED Limited (trading as Meredith Therapies) is committed to providing a respectful, inclusive, and non-discriminatory service in accordance with the Equality Act 2010. Therapy is offered without discrimination on any protected ground. |
