1. Psychological counselors (with the qualification of national psychological counselors) are engaged in non-pharmaceutical professional psychological counseling. Counselors are my advisers, and I am responsible for my choices and actions.
3. The first step of consultation is to collect my information, and it will take some time to make an effective consultation plan. In consultation, I need to give full play to my initiative, perceive and accept myself, and combine the professional experience of the consultant to achieve the purpose of consultation.
4. I can change to a counselor, and the counselor can introduce me to other counselors or psychologists with my consent.
5. In order to serve visitors better, the consultant will make consultation records and discuss with his teachers and professional consultants. My personal information, etc. Will be kept confidential by the consultant. Audio and video recordings require my prior consent and are strictly confidential.
6. If I have ever hurt myself or others, or I am thinking about it now, the consultant must report to the relevant unit, but the consultant will inform me in advance. When the consultant finds an urgent and dangerous situation, he will also take immediate action.
7. About the consultation time. Generally speaking, once a week, each consultation time is about 50 minutes. Generally speaking, every consultation is agreed in advance. If I make an appointment, cancel or change the appointment time, I try to inform the consultant two days in advance.
I have read, understood and agreed to all the above contents. Signature: Date:
Total accepted:. Acceptance time: MM DD YY: ——— Consultant:
Name: male and female
Date of birth (whole year)
Address: Tel: Class: Companion:
Consulting background: whether you have consulting experience;
Family members (age, relationship, occupation, education, personality):
Life history (people and things that have a great influence on you):
Main complaints (annoyance, confusion, hope, demand):
The occurrence and process of the problem:
Interpersonal relationship of visitors:
Personality of visitors:
Comprehensive impression:
Psychological evaluation and results:
Case study:
Leave a message after consultation:
Consultation time: Visitor: Consultant:
Consultation process:
Consultation time: Visitor: Consultant:
Consultation process: