Terms and Conditions

SERVICE AGREEMENT AND INFORMED CONSENT FORM  

This agreement outlines the terms of our professional relationship, ensuring clarity and mutual understanding. By signing, you agree to these terms.  

1. COUNSELLOR QUALIFICATIONS & SERVICES  

I, Tome Murrone, am a diploma qualified counsellor (Diploma of Counselling) with professional development training in Cognitive Behavioural Therapy (CBT) and attachment approaches. I am not a registered psychologist and do not offer diagnosis, medical advice, or clinical treatment.  

My services focus on practical support for children, adolescents, and adults, addressing concerns like ADHD, anxiety, low mood, and related challenges. Drawing on my experience working as a student counsellor at primary schools, and my own ADHD journey, I use CBT and attachment inspired strategies to promote mental wellbeing.  

Counselling is a collaborative process aimed at personal growth. It may involve discussing sensitive issues, which can feel uncomfortable but often leads to positive change.  

2. CONFIDENTIALITY  

All information shared is confidential and will not be released without your written consent, except in cases of:  

•    Risk of harm to self or others.  

•    Suspected child or elder abuse.  

•    Court order.  

•    Insurance provider requirements (if applicable).  

3. RECORD KEEPING  

I maintain secure, accurate records per the Health Records Act 2001 (Vic) and ACA Code of Ethics, including client details, session notes, and referrals.  

Records are stored confidentially (physically or electronically) and retained for 7 years from last contact or until you reach 25, whichever is later. After this, they are securely destroyed.  

You may request access to your records in writing; I’ll respond within 45 days unless exceptions apply.  

If this practice closes, records will be transferred or disposed of securely per ACA guidelines.  

4. SESSION STRUCTURE  

Sessions last 60 minutes and are scheduled by mutual agreement. My practice is mobile, with locations arranged per client needs.  

Cancellations require 24 hours’ notice via text (0417123896) or email (tmcounselling.net@gmail.com), or the full fee may apply. Exceptions (e.g., medical emergencies) are considered if communicated promptly.  

5. FEES & PAYMENT  

Session fee: $120 AUD, paid online by following the booking link at tmcounselling.net

No Medicare or private health rebates apply. Third party billing (e.g., insurance) requires your authorisation.  

Late cancellation fees: $50 AUD if less than 24 hours’ notice without valid reason.  

6. COMMUNICATION  

Contact me at 0417123896 or tmcounselling.net@gmail.com for scheduling/cancellations. Email/text isn’t fully secure and there is no guarantee against breaches.  

• Responses to non-emergency communications will typically be made within 24-48 hours. For emergencies, clients are advised to contact emergency services or visit a hospital immediately, as the counsellor may not be available.

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7. RISKS & BENEFITS  

Counselling may involve discomfort (e.g., discussing tough topics) but can improve relationships, reduce distress, and enhance wellbeing with your active participation.  

8. TERMINATION  

You may end counselling anytime. If I feel I’m not helping effectively, I’ll discuss this and refer you elsewhere if needed.  

9. LIMITS OF SERVICE  

My services are counselling based, not a substitute for psychiatric care, crisis intervention, or legal/medical advice. For emergencies, use 000.  

I avoid dual relationships (e.g., friendships) to maintain professional boundaries.  

10. CLIENTS UNDER 18  

For clients under the age of 18, parental or guardian consent is required to receive counselling services. I will work with both the client and the parent/guardian to ensure that the services provided are appropriate and beneficial.

Parental Involvement:  

• The level of parental involvement will be discussed and agreed upon at the outset of services.  

• While confidentiality is respected, parents/guardians may be informed of general themes or concerns discussed in sessions, especially if it involves the safety of the client.

11. PROFESSIONAL INDEMNITY INSURANCE  

I hold coverage with Focus Insurance Brokers Pty Ltd (AFSL: 426797, 03 8521 7180,

info@focusinsurance.com.au 

Suite 3, 1214 North Concourse, Beaumaris 

VIC, 3193 

Verification available on request.  

12. COMPLAINTS  

If you have any concerns or are dissatisfied with the service provided, you are encouraged to take the following steps:

1. Direct Communication: You are encouraged to first discuss your concerns directly with the counsellor. Often, open communication can resolve misunderstandings and address concerns effectively.

2. External Resolution: If you are unsatisfied with the outcome of our internal process, you have the right to contact the Australian Counselling Association (ACA) to lodge a formal complaint.

3. ACA Complaints Procedure: Visit https://theaca.net.au/complaints/ and submit a form.

4. Further Action: The ACA will handle the complaint according to their procedures, which may include mediation or referral to the Complaints Committee.

We view complaints as an opportunity to learn and improve our services, as well as a chance to put things right for the person who has made the complaint.

For full details of the ACA complaints procedure, please visit the ACA website at www.theaca.net.au.