Registration & Payment of Fees
New Clients - Please Complete Registration:
Before counseling can commence, Gosling International requires that you complete our registration
formalities and accept the following terms and conditions:
1. Acknowledge Gosling International's Professional
StatementI acknowledge that I have read and understood the Gosling International
Professional
Statement. I agree
to: A. Limits of
Confidentiality B. Limits of Professional Counseling
Consultations provided below:
A. Limits of
ConfidentialityGosling International is committed to protecting your
privacy and security of your personal data. All consultations will be conducted in a professional manner where
privacy and confidentiality are assured. Disclosure of confidential information may need to be reported to the
appropriate persons or agencies, including legal counsel, where the client:
- Threatens suicide.
- Threatens harm to another person(s), including
murder, assault, or other physical harm.
- Is a minor (under 18) and reports suspected child
abuse, including but not limited to, physical beatings and sexual abuse.
- Reports abuse of the
elderly.
- Is involved in a legal, including marital,
dispute.
- Defaults in paying their outstanding account and the
account is handed to an agency for collection.
B. Limits of Professional
Counseling Consultations
Gosling International assists clients seeking behavioral change or those experiencing
personal distress and social and psychological problems through professional emotional leadership coaching
and counseling consultations. Whilst the consultant will strive to assist clients with behavioral change or
personal issues, the consultant will not be held responsible if a client's personal circumstances remain
unchanged. Where ongoing referral is deemed necessary by the consultant, permission will be sought from the
client (parent/guardian) for the case to be discussed.
Step 2. Accept Professional F2F
Counseling Consultation Fee
|
Standard Rate - 1 Hour
Face-To-Face (F2F) Counseling @ $180 per hour
|
AUD $ 180.00
|
| Plan A
: |
Buy 6 Hrs F2F Counseling @ $150
per hour * |
AUD $ 900.00
|
| Plan B
: |
Buy 10 Hrs F2F Counseling @ $135
per hour * |
AUD $ 1,350.00
|
| Plan C
: |
Buy 15 Hrs F2F Counseling @ $120
per hour * |
AUD $ 1,800.00
|
I understand that consultations are charged for time used at an hourly rate and that appointments are not set for a predetermined time. I have
been fully informed of your Professional Counseling Consultation Fee
Schedule and agree to pay fees at the
standard rate of AUD$180 per hour or at such other rate or rates as may be otherwise agreed by both parties pro
rata for hours used or part thereof, except where I buy a prepaid Consultation Plan in which case I agree to pay
consultation fees at the plan rate per hour pro rata for hours used or part thereof. I agree that home/hospital
visits are charged at an additional fee of AUD$90 per visit.
3. Acknowledge Payment Method And Refunds Of Fees
I acknowledge that Gosling
International does not offer time payment facilities and that all consultation fees are payable at the time
of appointment either by Cash, EFTPOS (VISA, MasterCard) or online through our ecommerce provider, PayPal. I
acknowledge that Consultation Plans are payable in advance and not by instalments and that on completion of
any prepaid Consultation Plan ongoing consultations I will be charged at the standard rate per hour, except
where a new prepaid Consultation Plan is purchased. I agree that no refund is due where counseling has been
completed. However, where a refund of a prepaid Consultation Plan is requested in writing, consultations
completed under any plan will be charged at the standard rate of AUD$180 per hour and the balance of the
plan, less bank charges, refunded by Gosling International cheque in AUD$ made payable to the name appearing
on the debit card, credit card voucher, cheque drawer, or PayPal transaction and mailed to the last advised
postal address. I further agree that prepaid Consultation Plans will expire two years from the date of
purchase if unused and no refund shall be payable.
4. Pastoral Care
Gosling International will provide up to 10 minutes of telephone
consultations free of charge. I agree to pay the full consultation fee, including the initial 10 minutes, at the
standard or plan rate per hour pro rata for hours used or part thereof for telephone consultations that exceed 10
minutes duration.
5. No Shows
If I fail to attend a scheduled appointment at the agreed time, Gosling
International will wait 15 minutes before attending to something else and I agree to pay for a 15-minute
consultation at the agreed rate. PROVIDED ALWAYS that should there be good reason for my non-attendance, and where
I advise Gosling International of my inability to attend such appointment at least two hours before the agreed
time, no fee will be charged.
6. Law
The terms and conditions of this web site and our relationship are governed
by Australian law. An Accredited Member of the Australian Association of Social Workers, Karen Gosling, Counseling
Director, Gosling International, holds Professional Indemnity insurance cover, which, in part, is to protect the
rights of clients in the event of a legal dispute. You agree that in the unlikely event of a dispute arising out of
your professional counseling consultations to submit to the jurisdiction of the courts of the Commonwealth of
Australia.
7. Agreement
If you agree to the above terms and conditions and to the Terms of
Use for this website, please
download, complete and sign the following three registration forms and bring them with you to your first
appointment :
- Professional Statement
- Agreement
To Accept Professional Counselling Consultation Charges
- Personal
Information Sheet
8. Payment of the Counseling Fee
PLEASE NOTE:
Counseling sessions will not commence until the Registration Forms in Item 7 above have been duly completed and
received by Gosling International. Counseling consultation fees are payable at the time of
appointment either by Cash, EFTPOS (VISA, MasterCard) or online through our ecommerce provider, PayPal. Gosling International
offers substantial discounts for pre-payment of counseling plans*. Please see our Professional Counseling Consultation Fee
Schedule.
YOUR BONUS - When you buy any pre-paid
Counseling Plan A, B, or C above you receive your Bonus FREE Lifetime GEM Membership (Value $588!) at the Emotional
Wealth Academy membership site
administered by Dr. Mike & Karen Gosling.
Pay
Counseling Fees Online Now >>
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