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Nexus offers a confidential service to all clients who engage with us. However, there are limitations to confidentiality and these are expressed below in our Statement of Understanding. If you have any further queries around this subject your counsellor will help you identify and answer before you engage in the counselling process. Alternatively, you may contact your nearest Nexus office and discuss these matters before making an appointment.
STATEMENT OF UNDERSTANDING
I, __________________________________________________________________(print client’s name)
understand the conditions of my counselling with
___________________________________________________________________(print counsellor’s name)
of NEXUS, and any queries I have had regarding my counselling have been answered to my satisfaction.
CONFIDENTIALITY
I understand that counselling is a confidential service and that no information regarding me will be divulged to anyone with the following exceptions: - If my counsellor considers that I am putting my life at risk, or thinking of acting on suicidal thoughts, they may consult with my Doctor in order to try and help alleviate my pain. My counsellor will not do this without first discussing this with me.
- If I disclose that a child is at risk my counsellor will commence Child Protection procedures.
- If I disclose any information regarding a serious crime my counsellor will be obligated to inform the relevant authorities.
- If a judge requests my notes for a court case.
- In order to help me my counsellor undergoes Clinical Supervision where my progress will be discussed in strict confidence. The Clinical Supervisor is also bound by confidentiality and will not know me by name.
___________________________________________ _______________________
(client’s signature) (Date)
___________________________________________ _______________________
(counsellor’s signature) (Date)
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Confidentiality 
