The Therapy Consent Form is an essential document required in South African mental health practice that formalizes the therapeutic relationship between mental health professionals and their clients. This document becomes necessary before commencing any therapeutic relationship, whether in private practice, healthcare facilities, or organizational settings. The form must comply with various South African legislation, including the Mental Health Care Act, National Health Act, and POPIA, while remaining accessible and understandable to clients. It typically includes detailed information about service terms, confidentiality, fees, emergency procedures, and both parties' rights and responsibilities. This document serves multiple purposes: protecting both practitioner and client rights, ensuring informed consent, establishing clear boundaries and expectations, and meeting legal and professional requirements for mental health service provision in South Africa.

1. Therapist Information: Details of the therapist including full name, registration number with relevant professional bodies, qualifications, and contact information

2. Client Information: Client's personal details including full name, contact information, and emergency contact details

3. Nature of Services: Clear description of the therapeutic services being offered, including approach and methods used

4. Confidentiality: Explanation of confidentiality principles, its limits, and circumstances where information might need to be disclosed

5. Fees and Payment: Details of session fees, payment methods, cancellation policy, and medical aid claiming procedures

6. Session Structure: Information about session duration, frequency, and scheduling procedures

7. Rights and Responsibilities: Outline of both therapist and client rights and responsibilities during the therapeutic relationship

8. Emergency Procedures: Protocol for emergencies and crisis situations, including after-hours contact procedures

9. Termination: Conditions and procedures for ending therapy, including notice requirements

10. Declaration and Signature: Formal acknowledgment and agreement to the terms, with space for signatures and date