Introduction
Thank you for considering our mental health services. Before proceeding, we want to ensure that you have a clear understanding of our services, your rights, and our policies. Please read this informed consent form carefully and feel free to ask any questions that you may have.

Purpose of psychological assessments
The purpose of psychological assessments is to evaluate your child's mental health and behavioral functioning through the use of standardized tests, observations, and other methods. It is conducted by a clinical psychologist and is used to diagnose mental health conditions, determine appropriate treatment options, and measure progress in treatment.
 

Cancellation and rescheduling policy
Any cancellation or rescheduling of sessions must be done 24 hours before the allocated session by contacting us via email or WhatsApp. Cancellations with less than 24 hours notice will be charged the full session fee. 

Payment
The first consultation and subsequent consultation fees with the clinical psychologist will be at the agreed rate as displayed on the website. Full payment for the consultation(s) and psychological assessments must be made upon consultation. 

Contract of service
I acknowledge that the contract of service is between myself and my clinical psychologist and any payments made through such manner as may be notified by Breakthrough Mental Health Services.

Confidentiality
All information that you share with your child's clinical psychologist will be kept confidential and will not be shared with anyone without your written consent, except as required by law. This includes information shared during consultations, as well as any written or electronic records related to your child's psychological assessments .

Exceptions to Confidentiality
There are certain circumstances under which your child's clinical psychologist may be required to breach confidentiality. These include:
• If your child poses a serious threat of harm to himself, herself or others
• If ordered by a court of law

Supervision and Quality Assurance
Your child's clinical psychologist may be supervised by a licensed supervisor or participate in peer consultation groups. During these meetings, your clinical psychologist may share information about your child's psychological assessment results for supervisory or quality assurance purposes. However, your child's identity will be kept confidential and any information shared will be de-identified to the extent possible.

Access to Records
Your child's clinical psychologist may keep written or electronic records related to your child's psychological assessment results, which will be kept confidential. However, in the interest of quality assurance and supervision, your child's clinical psychologist's supervisor or Breakthrough Mental Health Services may access these records without your consent. Both supervisor and Breakthrough Mental Health Services are legally bound to protect your child's privacy and confidentiality.

Conclusion
By submitting this form, you acknowledge that you have read and understand this informed consent form, our privacy policy (https://www.bmhs.com.my/privacy-policy), terms and conditions (https://www.bmhs.com.my/terms-and-conditions) and agree to participate in therapy services. You also acknowledge that you understand and accept that your child's supervisor or authorised staff of Breakthrough Mental Health Services may access your child's records for quality assurance and supervisory purposes without written consent and the exceptions to confidentiality.