Therapy Agreement (Parent) The form has been successfully submitted. Thank you!School Therapy AgreementAs the child's parent/ guardian (tick to confirm),Name of young person/ child*School*Your relationship to young person/ child.I give consent for my child to attend sessions of Counselling and Therapeutic Play.I have read and agree to the contents of the sheet Counselling and Therapeutic Play Information.I give consent for my child's personal and sensitive data, including case notes, to be safely stored by their therapist for a period of 7 years after their 18th birthday, then destroyed. See also information sheet Your Data and Rights.My child is not attending counselling elsewhere.I give my consent for a report of the therapeutic work to be shared with the school, which will include details on general progress and general themes addressed.Where other agencies or professionals are involved in the care of my child, for example a GP, paediatrician, psychologist, police, CMHT or social services, I give my consent for the fact that the therapy is taking place and details on general progress to be shared if required.I agree to take full responsibility for sharing information regarding the therapy with my child’s other parent(s) and other relevant parties, such as a GP, paediatrician, psychologist, police, CMHT or social services.I have informed my child’s other parent(s) that the therapy is going to take place.I give consent to the details provided on this form to be safely stored. For more detail see information sheet Your Data and Rights.Your Name*Signature*Date* Submit
