Informed Consent for
Therapy and Related Services
Mynurva Client Agreement

1. What Therapy Is and Isn’t

Therapy is a confidential, collaborative space where you can explore your thoughts, emotions, and behaviours with a trained professional. It is not a crisis service or a substitute for medical treatment. Therapy may involve difficult feelings as part of the healing process and does not guarantee immediate improvement; progress may be gradual and non-linear.

 2. Therapy Approach and Session Format

Sessions are typically 50 minutes and take place via secure video on the Mynurva platform. Therapy methods include evidence-based approaches (e.g., CBT, counselling, integrative models). You and your therapist will agree on treatment goals and regularly review them. You may be asked to complete tasks or reflect between sessions to support progress.

3. Confidentiality and Information Sharing

What you share in therapy stays confidential, except when:

• There is a risk of serious harm to yourself or others
• There are safeguarding concerns involving children or vulnerable adults
• A serious crime is disclosed (e.g., terrorism, abuse, or intent to harm)

In these situations, we may need to share relevant information with appropriate services (e.g., GP, safeguarding authorities), but we will inform you wherever possible. Your therapist may also discuss your case (anonymously) in professional supervision to ensure safe, high-quality care. 

4. Clinical Records and Data Use

Therapists keep secure, professional records of sessions in line with regulatory guidelines. These are used only to support your care and are not shared without consent, except where required by law or safeguarding duty. Authorised admin staff may access basic session data (e.g., dates, therapist name, summaries) to help coordinate your care. You may request to review or limit what is shared if you change therapists. If you choose not to share your notes, a new profile will be created.

5. Risk and Safeguarding

We assess and manage risk collaboratively. This may involve sensitive questions to understand your safety and wellbeing. If risk is identified, we will work with you to create a safety plan. If you disengage from sessions or do not stay in contact, we may no longer be able to safely monitor your wellbeing. In such cases, responsibility for your support returnsto you and your GP or local services.

6. International Therapy and Cross-Border Care

• We are UK-based psychotherapists operating under UK professional standards, regulations, and data-protection laws.
• Our professional indemnity insurance covers online therapy delivered to clients outside the UK; however, we are not registered as health professionals in other jurisdictions.
• While we maintain confidentiality and secure data handling under UK law, you acknowledge that different countries have varying privacy regulations and legal frameworks that we cannot control.
• We can support you in managing risk and provide crisis guidance during sessions. However, our ability to contact emergency services in your country may be limited. If you are in immediate danger or need urgent help while abroad, we will help you identify and access appropriate local services, but we cannot guarantee an emergency response.

If you are residing in a country where local regulations prohibit receiving therapy from professionals not registered in that country, you agree to proceed at your own discretion and acknowledge that the therapist operates under UK regulation and licensure only. 

7. Suitability and Therapist Changes

You may change therapists at any time using our platform. If you reassign yourself to a new therapist, please be aware that your new therapist will automatically have access to your existing therapy notes. By making this change, you are giving consent for your notes to be shared with them. 

If you would prefer your new therapist not to see your previous notes, please email bookings@mynurva.com before reassigning yourself. In this case, we will create a new profile for you, and your new therapist will begin without any prior information (or only referral details, if applicable). You can also request a therapist change at any time by emailing us at bookings@mynurva.com 

If you do not confirm your preference, your current profile will remain active, but no new sessions can be scheduled with a different therapist until we have your consent. In rare cases involving clinical risk, a minimal handover may be shared in line with our duty of care. 

8. Your Rights

• Ask questions about your therapy or treatment plan
• Decline any intervention or end therapy at any time
• View or request a summary of your records
• Provide feedback, raise concerns, or file a complaint

9. Your Responsibilities

• You have the right to end therapy at any time and for any reason. However, we strongly encourage you to discuss this with your clinician, rather than stopping attendance or disconnecting without notice.
• To maintain a safe and ethical therapeutic relationship:
• Bartering or exchange of services is not permitted.
• Clients may not add, follow, or message therapists via personal or social
  platforms during or after their time with Mynurva.

Public Encounters

Clinicians cannot engage in social contact with clients outside of sessions.
If you happen to see your therapist outside of sessions (e.g., in public or online), they will not approach or acknowledge you first. This is to protect your confidentiality and privacy. You are free to say hello, but there is no expectation to do so.

11. Emergencies and Crisis Support

Mynurva is not an emergency service. If you feel at risk or overwhelmed outside of sessions, please contact:

• NHS 111 (Option 2)
• Samaritans – 116 123
• Your GP or nearest A&E
• Call 999 in an emergency

12. Consent to Therapy

By continuing with Mynurva’s services, you confirm that:

• You understand the nature and boundaries of the therapy offered
• You agree to the terms outlined above
• You consent to participate in therapy and to the appropriate sharing of clinical information for your care and safety

Non–Therapy Patients

13. Consent to Clinical Reports

• You also consent to the terms outlined below for the specific assessment you are attending, delivered via our platform. If you have any questions or concerns about this agreement, please speak with your clinician before proceeding.

14. Workplace Needs Assessments

• Workplace needs assessments are designed to evaluate your specific workplace requirements and recommend necessary adjustments or accommodations.
• These assessments are based on your input and clinical observation but do not replace formal medical diagnosis unless explicitly stated.
• No session notes are taken during these assessments; instead, a formal report will be generated.
• Reports may be shared directly with you, your employer, or a nominated partner only with your explicit consent.
• You have the right to request a copy of the report and check it for factual accuracies.

15. ADHD Assessments and Diagnosis

• ADHD assessments are conducted to provide a formal clinical diagnosis of attention deficit hyperactivity disorder.
• These assessments involve detailed information gathering, clinical evaluation, and may include standardized tools to support diagnosis.
• No session notes are recorded; instead, a comprehensive diagnostic report will be generated.
• Reports may be shared directly with you or designated parties as agreed only with your explicit consent.
• You have the right to request a copy of the diagnostic report and discuss its contents with your clinician and check it for factual accuracies.

16. Occupational Health (Occ Health) Assessments

• Occupational Health Assessments with our GP assess your fitness for work and provide recommendations for workplace adjustments if necessary.
• Consultations take place via secure video on our platform; no detailed session notes are taken, but a report summarising the consultation will be created.
• Reports will be shared with you or your employer/partner only with your explicit consent. Relevant information may be disclosed to support your workplace healthand safety.
• You have the right to request a copy of the report and check it for factual accuracies.

17. Pre-Surgery Assessments for Cosmetic Surgery

• Pre-surgery assessments are conducted to evaluate your suitability for cosmetic surgery and to provide an informed report to you or your surgical team.
• These assessments are not therapy sessions and do not involve ongoing clinical treatment. No detailed notes are kept on file.
• A formal report summarising the assessment will be produced and shared with you or your surgical provider.
• The assessment is based on your self-report and clinician evaluation during the appointment. It is intended to assist surgical decision-making and is not a substitute for medical advice or diagnosis.
• If your surgery referred you directly to us, we would automatically share the report with them. If you purchased privately, we would not do so unless you want us to.

18. Data Protection and Privacy for Clinical Reports and Assessments

• All Clinical reports generated from Workplace Needs Assessments, ADHD/Autism Assessments, Pre-Surgery Assessments, and Occupational Health Assessments are securely stored and accessed only by authorised personnel.
• By agreeing to these services, you consent to the secure electronic storage and transmission of your Clinical reports.
• You may withdraw consent for report sharing at any time; however, this may impact your care or workplace accommodations.

19. No Notes Policy Clarification – Clinical Reports

• Clinical Reports for Workplace Needs Assessments, ADHD or Autism Assessments, Pre-Surgery Assessments or Occupational Health Assessments, no detailed session notes are maintained.
• Relevant information is summarized exclusively in formal Clinical reports.
• If you have any concerns about record-keeping or how your information is reported, please contact us.

20. Feedback and Complaints

We welcome your feedback, positive or negative, as it helps us improve our service. If you’re uncomfortable discussing something with your therapist directly, you can contact our support team confidentially. If you wish to make a formal complaint, we will listen and handle your concerns respectfully and fairly. Our aim is to reach a resolution that supports your wellbeing.

Contact: bookings@mynurva.com