INFORMED CONSENT FOR COUNSELLING — PranaCare Ltd
Clarity • Safety • Ethical Practice Edmonton, Alberta, Canada
1. Purpose of Informed Consent
This Informed Consent outlines your rights, responsibilities, and the boundaries of counselling services at PranaCare Ltd. It ensures you understand:
What counselling is
What counselling is not
How confidentiality works
The limits of confidentiality
Risks and benefits
Fees, cancellation, and communication policies
Your rights as a client
Our responsibilities as counsellors
By beginning counselling, you acknowledge and agree to the terms below.
2. Nature of Counselling
Counselling at PranaCare Ltd is:
Counselling may include:
Counselling is not:
3. Counsellor Qualifications
Counselling is provided by qualified professionals who follow:
Alberta College of Social Workers (ACSW) standards
Canadian Association of Social Workers (CASW) Code of Ethics
Alberta’s Personal Information Protection Act (PIPA)
Trauma‑informed and culturally humble practice
4. Confidentiality
Your information is confidential and protected under Alberta law.
Confidentiality applies to:
We do not share your information without your consent, except where required by law.
5. Limits of Confidentiality (Required by Alberta Law)
There are specific situations where confidentiality cannot be maintained. These limits are required by Alberta legislation and professional ethics.
5.1 Intent to Harm Self
If you disclose clear, imminent intent to harm yourself, we must take steps to ensure your safety. This may include contacting emergency services or notifying appropriate supports.
5.2 Intent to Harm Others
If you disclose clear, imminent intent to harm another person, we must take steps to protect that person, which may include notifying authorities or emergency services.
5.3 Abuse, Neglect, or Exploitation
If there is suspicion or disclosure of abuse, neglect, or exploitation of:
A child
A minor
A vulnerable person
we are legally required to report this to the appropriate authorities.
5.4 Court Orders or Legal Requirements
If a court orders the release of information, or if disclosure is required by law, we must comply. We will inform you whenever possible.
5.5 Criminal Activity (Ongoing or Future)
If you disclose involvement in ongoing or planned criminal activity that poses risk to others, we may be required to report this to authorities.
5.6 Professional Consultation
To ensure ethical and effective practice, we may consult with other professionals. These consultations use non‑identifying information only and protect your privacy.
6. Risks & Benefits of Counselling
Potential Benefits
Potential Risks
Emotional discomfort
Discussing difficult experiences
Temporary increase in stress
Unexpected feelings or memories
Changes in relationships
You may stop counselling at any time.
7. Fees & Payment
Counselling fees are outlined in the Payment & Refund Policy.
Payment is due at the time of booking unless otherwise arranged.
8. Cancellation Policy
48 hours’ notice is required to cancel or reschedule.
Late cancellations or missed appointments may be billed in full.
Exceptions may be made for emergencies at our discretion.
9. Communication Between Sessions
Email or text may be used for:
Scheduling
Clarifying logistics
Sharing resources
We do not provide counselling or crisis support through email, text, or social media.
10. No Crisis Services
PranaCare Ltd does not provide emergency or crisis intervention.
If you are in crisis, contact:
11. Record‑Keeping
We maintain secure, encrypted records according to Alberta’s professional standards.
You may request access to your records at any time.
12. Client Rights
You have the right to:
Be treated with dignity and respect
Receive culturally intelligent, trauma‑informed care
Ask questions at any time
Decline any intervention
Request changes in approach
Access your records
End counselling at any time
13. Client Responsibilities
You agree to:
14. Counsellor Responsibilities
We agree to:
Provide ethical, professional care
Maintain confidentiality within legal limits
Offer trauma‑informed, culturally humble support
Respect your autonomy
Provide referrals when appropriate
Maintain professional boundaries
15. Consent to Counselling
By beginning counselling with PranaCare Ltd, you acknowledge that:
You understand the nature and limits of counselling
You understand the limits of confidentiality
You agree to the policies outlined above
You consent to participate voluntarily
16. Contact Information
For questions about this Informed Consent:
PranaCare Ltd Edmonton, Alberta Email: hello@pranacare.ca Phone: 587‑778‑1110