Psychology Consent Form Template for Hong Kong

The Psychology Consent Form is a critical document required before the commencement of any psychological services in Hong Kong. It serves as both a legal safeguard and an educational tool, ensuring clients are fully informed about the nature of psychological services, their rights, and the parameters of confidentiality. This document must comply with Hong Kong's Personal Data (Privacy) Ordinance and Mental Health Ordinance, while adhering to professional standards set by the Hong Kong Psychological Society. It's essential for establishing clear expectations, documenting informed consent, and protecting both client and practitioner interests. The form addresses various service contexts, from individual therapy to group sessions, and includes specific provisions for different client categories, such as minors or those requiring specialized services.

1. Parties: Identification of the psychologist/practice and client (including client ID/reference number for privacy)

2. Background: Brief context of the psychological service being provided

3. Definitions: Clear explanations of key terms used in the document

4. Nature of Services: Detailed description of psychological services to be provided

5. Client Rights and Responsibilities: Outline of client's rights, including right to terminate, and expected responsibilities

6. Confidentiality and Its Limits: Detailed explanation of confidentiality policy and circumstances where it might be breached

7. Data Protection and Record Keeping: Information about how personal data and session records will be maintained and protected

8. Fees and Payment Terms: Clear outline of service fees, payment methods, and cancellation policy

9. Emergency Procedures: Protocol for emergencies and crisis situations

10. Consent Declaration: Formal statement of consent and understanding to be signed by all parties