informed consent and
legal disclaimer
Informed Consent
By reading this document, I have decided on the services by Achilles Atlas Justice for Philosophical Counselling. I am also acknowledging that I am of sound mind when I am reading this agreement for I must understand the consequences of my actions and the limitations of counselling. I have read the explication of services document which explains what philosophical counselling is and what my responsibilities are.
I believe that Achilles Atlas Justice’s Philosophical Counselling is the best decision for me at this time because it will be very helpful for me to solve my personal or life issues and problems. I hereby certify that I am of legal age of consent according to federal and provincial laws of Ontario Canada or have my legal guardian consent for me.
I understand that confidentiality is of the utmost importance to the counsellor and the client. All content which is discussed will be kept confidential, as specified in the explication of services document for philosophical counselling, unless harm will come to me, another person or the existence of child abuse is determined. If I am seriously considering suicide, Philosophical Counselling will not necessarily be appropriate for me at this time and I must contact 911 immediately.
Legal Disclaimer
By reading this document and signing and submitting the Achilles Justice Client Consent Form, I agree that specific situations are inappropriate for philosophical counselling like emergencies. If I am in an emergency I must call 911 immediately or find help from an appropriate health care practitioner.
Emergency Situations Include:
- Thoughts of hurting or killing myself or another person
- Hallucinations (seeing or hearing things others do not)
- Mental health status that has put me or my loved ones in inappropriate, unhealthy, unsanitary, or dangerous living conditions
- Any kind of life threatening situations
- Currently abusing or addicted to alcohol, prescriptions drugs, or dangerous street drugs
Signing and submitting the Achilles Justice Client Consent Form to Achilles Atlas Justice displays I acknowledge that if I feel suicidal now or at any future point,
I must contact 911 or
the National Suicide Prevention Lifeline 1 800 273 TALK (8255)
Philosophical Counselling Service
I have read and understand the Explication of Services document and the Informed Consent and Legal Disclaimer document which provides a summary of the limitations and the scope of the Philosophical Counselling provided by Achilles Atlas Justice. I give Achilles Atlas Justice permission to be my Philosophical Counsellor. Achilles Atlas Justice will not be held responsible for consequences of any plans, actions and/or results of actions I decide.