Client Information and Consent Form
Psychological service
As part of providing the psychological service of conducting a psychoeducational assessment for your child, Ana Tu Psychology collects and records personal information relevant to your child's situation, such as your name, contact information, medical history and other relevant information as part of this service. The information is kept securely and, in the interests of privacy, used only by your psychologist and the authorised personnel of the practice (as necessary). If you do not wish for your personal information to be collected, Ana Tu Psychology may not be able to provide the psychological service to you. At any stage you are entitled to access your personal information kept on file, subject to exceptions in the relevant legislation. The psychologist may discuss with you, different possible forms of access.
Disclosure of personal information
All personal information gathered by the psychologist during the provision of the psychological service will remain confidential except when:
- it is subpoenaed by a court, or disclosure is otherwise required or authorised by law; or
- failure to disclose the information would in the reasonable belief of Ana Tu Psychology place you or another person at serious risk to life, health or safety; or
- your prior approval has been obtained to:
- provide a written report to another professional or agency, e.g. a GP or a lawyer; or
- discuss the material with another person, e.g. a parent, employer, health provider or third-party funder; or
- disclose the information in another way; or
- disclose to another professional or agency (e.g. your GP) and disclosure of your personal information to that third party is for a purpose which is directly related to the primary purpose for which your personal information was collected.
Costs
The cost of this psychoeducational assessment is payable by the Department for Education, South Australia.
Cancellation Policy
If, for some reason you need to cancel or postpone your appointment, please provide at least 2 business days notice.
Charter for Clients of Psychologists
All psychologists are legally required to be registered in Australia, which means your psychologist is registered with the Psychology Board of Australia. These safeguards mean that your psychologist is properly trained and ensures that you receive high quality, ethical service. Psychologists adhere to a profession Code of Ethics.
As a client of an APS psychologist, you have a right to expect that:
- You will be treated with respect at all times.
- Your cultural background and language tradition will be respected.
- You will be given a clear explanation of the services you will receive.
- You will be asked to give your consent for any service provided by your psychologist prior to the service commencing and as it progresses.
- You will receive an explanation about the confidentiality of the service and the exceptional situations where your confidentiality may not be protected.
- You will receive information about fees for the service provided.
- You will receive skilled and professional services from your psychologist.
- You can ask any questions about the service you are receiving.
Assessment Process
The assessment process may involve the review of reports, observation, school records, collection of information from parents, teachers, Student Support Services staff, and standardised and informal assessment of cognitive and academic functioning, and/or social, emotional, and behavioural needs. The purpose of the psychoeducational assessment is to determine your child's cognitive and academic ability. A diagnosis may result if your child meets a diagnostic criterion outlined by the DSM-5-TR used during this process, and recommendations will be provided to support your child and teaching staff.
Assessment reports may be discussed with a professional supervisor, or as part of peer consultation with professionals who are bound by the same confidentiality requirements. This enables high standards to be maintained.