All Clients are required to complete registration before your first session
DOWNLOAD, COMPLETE, SIGN, SCAN/COPY AND POST OR EMAIL YOUR 3 REGISTRATION FORMS BEFORE COUNSELLING WILL COMMENCE:
EMAIL: counsellor at karengosling.com
POST: PO Box 365, Southport BC, QLD 4215 Australia
This is normally done at your first appointment or by email if using Skype, Zoom, or Phone Counselling
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 Statement
I acknowledge that I have read and understood the Gosling International Professional Statement. I agree to:
- A. Limits of Confidentiality and
- B. Limits of Professional Counseling Consultations provided below:
A. Limits of Confidentiality
Gosling 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.
2. Accept Professional Counselling Consultation Fees
|Standard Rate:||Initial Counselling Session of up to 2-hours||
AUD $ 497.00
|Plan A:||Buy 6 Hrs Counselling @ $300 per hour||
AUD $ 1,800.00
|Plan B :||Buy 10 Hrs Counselling @ $240 per hour||
AUD $ 2,400.00
|Plan C :||Buy 15 Hrs Counselling @ $198 per hour||
AUD $ 2,970.00
|Plan C :||Buy Fast Fix Marriage Formula||
AUD $ 4,997.00
I understand that counselling 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 Counselling Consultation Fee Schedule and agree to pay initial counselling fees of AUD$497 for up to 2-hours, 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$120 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, I will be charged for ongoing consultations at the initial consultation rate of AUD$497, except where a new prepaid Consultation Plan is purchased.
I agree that where a refund of a prepaid Consultation Plan is requested in writing, consultations completed under any plan will be charged at the rate of AUD$360 per hour and the balance of the plan refunded by Gosling International in Australian $s made payable to the name appearing on the bank transfer voucher, EFTPOS credit card, or PayPal transaction, by cheque or internet bank transfer to the client’s bank account.
I further agree that prepaid Consultation Plans will expire 12-months 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.
The terms and conditions of this web site and our relationship are governed by Australian law. 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 and the State of Queensland.
- Professional Statement
- Agreement To Accept Professional Counselling Consultation Charges
- Personal Information Sheet
8. Payment of the Counseling Fee
PLEASE NOTE: Counselling sessions will not commence until the Registration Forms in Item 7 above have been duly completed and received by Gosling International.
Counselling consultation fees are payable prior to the time of appointment either by bank transfer, EFTPOS (VISA, MasterCard) or online through our eCommerce provider, PayPal. Gosling International offers substantial discounts for pre-payment of counselling plans. Please see our Professional Counselling Consultation Fee Schedule