New Client Intake

Client Intake & Consent

For clients I’ve arranged to begin working with. Please complete this before your first session — it takes about five minutes.

This form gathers the practical details we need to start well — how to reach you, an emergency contact, and a few lines about what brings you to therapy. There’s no need to write at length; we’ll explore everything together in session.

Your answers are sent directly to me and held in strict confidence, in line with the BACP Ethical Framework and UK GDPR. This page collects some health-related information, so please complete it only once we’ve agreed to work together. Full detail is in my Privacy Policy.

Therapy Agreement & Consent

Please read the agreement below. Ticking the boxes and signing at the end confirms you understand and accept these terms.

Purpose of Therapy

Therapy is a confidential space for you to explore personal difficulties, emotional challenges, or relational problems in a safe and non-judgemental environment. The therapeutic process aims to support self-understanding, growth, and positive change.

Who I Work With

I work with adults aged 18 and over, offering individual and couples therapy. If it becomes clear that a different or additional kind of support would serve you better, I’ll discuss this with you and, where I can, help you find it. Sessions are available online across the UK; in-person sessions in Richmond and West London currently have a waiting list.

Couples Work

In couples work, I don’t hold secrets between partners. Anything one of you shares with me individually may be brought into our joint sessions.

Appointments & Fees

Sessions last 50 minutes and are typically held weekly. The fee per session is £95 for individual therapy and £120 for couples therapy. Fees are payable by bank transfer, cash, or online payment before or at the time of each session. Fees are reviewed from time to time, usually once a year, and I’ll always give you reasonable notice of any change before it applies.

Cancellation Policy

Where possible, please give at least 24 hours’ notice if you need to cancel or reschedule. Sessions cancelled with very short notice may be charged, though exceptions are always considered with compassion — life happens, and I will always try to be flexible where I can.

Breaks & Notice

From time to time one of us may need to pause our work — for holidays, illness or other commitments. I’ll give you as much notice as I can of any planned break in my availability, and I ask that you do the same. If I am ever unexpectedly unavailable, I have arrangements in place so that you can still be supported.

Accessibility

If you have any access needs, or would like me to make reasonable adjustments to how we work together, please tell me — on the form above or at any time — and I’ll do my best to accommodate them.

Confidentiality

All information shared in sessions is confidential and will not be disclosed without your consent. The only exceptions are:

  • If I believe you or someone else is at serious risk of harm.
  • If I am legally required to disclose information (for example, under the Terrorism Act or Child Protection legislation).
  • If subpoenaed by a court of law.

I discuss my clinical work in professional supervision as required by the BACP. Your identity is protected throughout this process. This information, and any information you share, is handled in line with my Privacy Policy and UK GDPR.

Contact Between Sessions

Between sessions, please contact me by email, and for practical matters only (for example, changing an appointment). I aim to reply within two working days. Any messages between us form part of your record. I don’t connect with clients on social media.

Digital Tools

I use secure digital tools to run my practice — for example, video calling for online sessions and secure storage for records. I won’t put your personal information into any other digital tool without first explaining it and asking your consent. How your data is handled is set out in my Privacy Policy.

Your Records

I keep brief, factual notes, stored securely and in line with UK GDPR. I keep client records for seven years after our work ends, after which they are securely deleted. You can ask to see the information I hold about you at any time. Full details are in my Privacy Policy.

Use of Phones & Devices

Please ensure your phone is turned off or silenced during sessions. I will do the same.

Ending Therapy

You may choose to end therapy at any time. Ideally, we will discuss and agree a planned ending, which includes a closing session to reflect on the work and provide a sense of closure. Where appropriate, I will support you in finding alternative support.

If I’m Unexpectedly Unavailable

I have a clinical will in place. If I were ever unable to continue our work unexpectedly, a named colleague, bound by the same duty of confidentiality, would contact you.

Concerns & Complaints

If you’re ever unhappy with any aspect of our work, please tell me first so we can talk it through and, wherever possible, put it right. If we can’t resolve it together, you can contact the BACP at bacp.co.uk.

Ethical Practice

I am an accredited member of the British Association for Counselling and Psychotherapy (BACP) and work in accordance with their Ethical Framework for the Counselling Professions.

By ticking the boxes below and signing, you confirm that you have read and understood this contract and consent to engage in therapy with Daniel Avital.

Please avoid sharing anything you’re not ready to — there’s no requirement to give detail here. If you’d rather send this another way, just email me at daniel@attune-therapeutics.uk.

Thank you

Your intake form and signed therapy agreement have been sent to me — thank you. I’ll be in touch to confirm, and we’ll take everything else at your pace when we meet.

Almost there

The automatic send didn’t go through. Your email app should have opened — if it didn’t, copy your details below and email them to daniel@attune-therapeutics.uk.