5. FAMILY HISTORY
6. SELF ASSESSMENT
11. COMMUNICATION AND TERMINATION
TELEPHONE CALLS & EMAILS: I check my confidential email and voicemail, (604) 800.9010 daily, less frequently on
weekends and holidays. For emergencies, please call 911.
TERMINATION: You have the right to end service at any time and to request referral elsewhere. It is helpful for us to discuss
termination fully in at least one session.
I may terminate treatment if you do not comply with the conditions of treatment (i.e., coming to sessions clean and sober,
refusal to obtain a psychiatric consult, consistent no shows, consistent overdue account).
I may also terminate treatment and refer you to another professional if your issue is beyond the scope of my practice, it is
reasonably clear that you no longer need or want the service, or you are not benefitting from the relationship.
Finally, treatment may be terminated when a potential conflict of interest or dual relationship arises, or if I feel threatened or
otherwise endangered by the client or another person with whom the client has a relationship.