Claims Agreement Form

You are receiving this form because you currently reside outside of the United Kingdom. If you wish to engage in therapy with us, we require your agreement to proceed under UK law and in accordance with the policies and procedures outlined by our professional indemnity insurance providers. Please indicate your informed consent below if you would like to work with us.

Policies & Procedures / Data Protection

Name

First Name

Last Name

Todays date

In which country do you currently reside?

Informed Consent for Claims

Harrison Psychology Group is a UK-based clinical practice. All of our clinicians are registered and practice within the United Kingdom, adhering to UK law and the professional standards set by our respective regulatory bodies, including the HCPC, UKCP, and BACP. Accordingly, any claims or legal matters relating to our services must be filed and addressed under the jurisdiction of the United Kingdom.

Yes, I understand and agree to file any potential claims under UK jurisdiction