Confidential Intake Forms

Confidential Intake Forms

Please take the time to download the mandatory intake forms listed below, fill them out and email them back to Thebaggagehandler@outlook.com

The sooner you return them, the sooner we can get started on the road to a new beginning.

*To ensure your privacy and protection it is recommended that you read our Confidentiality Policy below.

Confidentiality Policy:

We treat your confidential sessions with the same security and privacy of a bank safety deposit box.

Only the Client and the Counselor have the key to open the box.

*Please read the Policies and Procedures below:

Welcome to The Baggage Handler Counseling & Coaching Services. Please read all documents thoroughly, so that you are prepared to discuss any questions with your counselor during your first session.


1. CONFIDENTIALITY

All information obtained/derived by the course of counseling is fully confidential. Exceptions to this guideline include instances when (a) the client is a clear danger to themselves or others; (b) the client is a minor (under the age of 18) and reports that he or she is or has been a victim of physical or sexual abuse; and (c) there is any suspected abuse to a child or elder abuse. If you desire The Baggage Handler Counseling to release or obtain information from a specific individual or agency, ask your counselor for an “Authorization to Release Information” form. I understand that cases are occasionally discussed between The Baggage Handler Counseling counselors to provide the best Christian Counseling as possible.


2. TELEPHONE CALLS

Occasions may arise when you need to talk to your counselor in between normally scheduled sessions. If you leave a message for your counselor, we will make every effort to respond in a timely manner. Any consultation by telephone made between scheduled sessions will incur a charge to the client if the telephone call exceeds 15 minutes. If there is a life-threatening emergency, call 911 or go immediately to your local Emergency Room.  


3. LENGTH OF SESSION

All sessions scheduled through The Baggage Handler will be a minimum of 30 minutes up to a maxium of 1 hour in time block increments.

4. FEES AND PAYMENT*
All payments are due at the beginning before service is rendered. Payment may be made in the form of cash, cash apps or credit/debit card. Please advise which form of payment you will be utlizing prior to your first sesion.Our current fees and block pricing for sessions may be found under the *Lighten Your Load* tab on the homepage of the Baggage Handlers website. Certain sessions may need more conference time than others and will come with a minimum recommendation of 4 sessions.

5. CANCELLATIONS AND MISSED APPOINTMENTS

When your appointment is scheduled, a particular time slot is reserved for you on either a weekly or bi-weekly basis. It is your responsibility to give at least 24 hours’ notice if you must miss or cancel an appointment so that the counselor can make use of that time slot. Therefore, a cancellation fee of $30.00 will be assigned every time an appointment is missed or cancelled with less than 24 hours’ notice. This fee is assessed regardless of the reason for missing or cancelling the originally scheduled appointment. Repeated cancellations or missed appointments may affect the retention of your allotted time slot. There is a limit of one cancellation every three months in order to keep your allotted time slot in place. Therefore, if a second cancellation occurs within the three month time frame, the counselor may be unable to reserve your allotted time slot for you. However, your counselor will likely be able to keep you on their caseload via a floating time slot.


7. INCLEMENT WEATHER POLICY The counselor is responsible for determining if the weather is too hazardous to commute to your practice location if needed in person. If your counselor decides to hold the session as originally scheduled, you are expected to show and will be charged a cancellation fee for missed appointments. If your counselor decides to cancel your session, they will contact you to inform you of the change. We trust that your experience with The Baggage Handler Counseling will be helpful and profitable to you.

WE WANT YOU TO FEEL:

We want you to feel safe and secure during your visit with us; that is why we have a strict confidentiality policy. Please know that all information shared between client and counselor cannot and will not be disclosed except through client written consent.

Because of state laws there are some exceptions which include:

*Suspected abuse

*Threat of serious harm to self or another

All other subjects will be deemed private and held in strict client and counselor confidentiality.

*Please before you do anything else be sure to download and fill out the Baggage Handlers Intake forms listed above: