My Completed Session

Therapist name:

Client, First and Last name:

Type of Client:

Type of payment used by my client:

Date of session:

Session started at:

Type of session:

Session nr:

This session qualifies as a session to be invoiced:

I am confident in my ability to support this client:

My Client is at risk of Self-harm or Harm to others

Is the date of your follow-up session known already?

Date follow-up session - if applicable:

Time follow-up session - if applicable:

Type of follow-up session:

Does this follow-up session cover more than 1 hour for you? (if applicable):

If more than 1 hour, please indicate total cost to client for your hours:

If you don´t know the date of the follow-up session yet, please fill in this form once you know the date:

www.counsellingmadrid.org/my-followup-session

For all Private clients, please confirm their fee for follow-up sessions:

Observation (optional):