Client Consent Forms and Payment Agreement

Paperless Environment / Adobe Fill and Sign

Please Note we are a paperless environment. You can use Adobe fill and Sign to fill out the documents, so that no printing or scanning is required. Adobe Fill and Sign is a free app that can be found in your apple store or play store for android.

New clients

Please fill out both the Consent form and the Payment Terms and Conditions and return to Janine@yourtherapy.co.za

Existing Clients

Please fill out the consent form IF your medical aid/address etc has changed. 2022 payment terms and conditions form is essential. Please return to Janine@yourtherapy.co.za

Couples/Marriage Counselling

Pls download the information regarding couples counselling/Marriage counselling below. it is important to read this before making a booking. If you have further questions regarding this please email me on janine@yourtherapy.co.za.

Forms and Information