PSYCHOTHERAPY INTAKE & CONSENT | 2026
Please fill in your details below, noting the required fields.
What is your reason for seeking psychotherapy?
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The 2026 local session rate is R1550.
The 2026 international session rate is £90.
There is an annual increase, effective from the first of January of each year.
Invoices are sent at month's end.
Please settle the account within the first week of the new month.
I only accept payments directly from the patient.
Any reimbursements are to be resolved between the patient and the insurer.
Medical aid benefits generally do not cover psychotherapy. Please contact your provider directly if unsure.
While coverage may apply for certain conditions, I only provide invoices with an ICD-10 Diagnostic code that is purely reflective of actual medical condition.
The initial session is charged as per the normal session rate.
Psychotherapy is charged for a particular session time, typically weekly. This session time is exclusively reserved for the patient, for the agreed upon duration.
As such, arranged sessions are always charged in full regardless of attendance. This includes late arrivals, no shows, and cancellations.
In concluding treatment, at least 72 hours notice (excluding weekends / public holidays) is required or that final session will be also be charged in full.
Limits of Confidentiality
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While all of our sessions and communications are confidential, certain limits do apply.
I am required to take appropriate steps, including contacting emergency services, healthcare providers, designated emergency contacts, or relevant authorities where:
1. your life, or the life of another person, is indicated to be in danger
2. a child (or vulnerable adult) is endangered, abused, or neglected
3. or the prenatal use of dangerous controlled substances is reported.
Communications | Privacy
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Medical records and clinical notes are stored within protected systems to maintain privacy and conform to the Protection of Personal Information (POPI) act.
However, I cannot guarantee the security of systems beyond my control. Please limit all out of session communications to practical purposes only.
By signing below, I acknowledge that I have read and understood this intake and consent document.
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I consent voluntarily to receive psychological assessment and/or psychotherapy services from Sean Friedman (HPCSA PS0159018 | PCNS 1168010 | HCPC PYL046126).
I understand the nature of these services, the limits of confidentiality, the fee structure, and the cancellation policy. I understand that I may discontinue treatment at any time, subject to the terms outlined above.
I understand the nature of these services, the limits of confidentiality, the fee structure, and the billing policy. I understand that I may discontinue treatment at any time, subject to the terms outlined above.
