Initial Contact and New Client Registration

Dan L Mitchell, MA, Certified Canadian Counsellor ⚠️ Important Notice – Out of Office Dan is currently away and will not be responding to new client inquiries until 14 August 2025. You may still submit this form, but please note that replies will be delayed until after that date. If you are in crisis or need immediate mental health support, please contact: • 988 – Talk Suicide Canada, available 24/7 • Or call 911 in an emergency⚠️

Please correct the errors described below.

Hello and welcome!

After you submit your New Client Registration, I will contact you by phone to arrange the first counselling session. I am accepting new clients who reside in BC, SK, MB, PEI, NL & L, YK, NU, and NT only.

Sessions are available in-person (office or outdoors), by phone, secure email, Zoom chat, or Zoom video.

Fees are $150/hr (FNHA Clients exempt)
-payable through eTransfer to DanLMitchell@hushmail.com or
-Bitcoin wallet (contact me).

Hi there. I'm Dan. Feel free to ask me anything. Your message will come to me as a secure email. I will reply to you securely as well.

You will receive an email with a link that says - Dan Mitchell has sent you a secure email using Hushmail. That link will take you to a secure web page where you can sign in using your Google, Apple, or Microsoft account. Or you can create a password. Then you will be able to securely read and respond to me.

Or you can leave me your phone number and I will call you back.

I will get back to you within one business day.

I look forward to being in touch with you,

Dan

Client Information

Recent Medical/Mental/Emotional History

Your Circle of Care

Dan L Mitchell Counselling encourages you to agree to a multi-disciplinary “circle of care” approach to counselling. This means you give Dan L Mitchell permission to talk about you, for your care, with the professionals and close friends/family members whom you identify. Leave these fields blank if you do not permit sharing of your confidential information.


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Emergency Contact Information

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Dan L. Mitchell Counselling – Client Consent & Service Agreement

Latest update: 19 June 2025

1  INTRODUCTION

I am Dan L. Mitchell, MA, CCC #2157, a Canadian Certified Counsellor in good standing with the Canadian Counselling and Psychotherapy Association since 1989.
Verify at: https://www.ccpa-accp.ca/find-a-canadian-certified-counsellor/

2  IDENTITY & AGE

  • Use your real identity when we work together.

  • Clients under 19 need written guardian consent.

3  WHAT COUNSELLING INVOLVES

Counselling is a collaborative process of conversation, reflection, and practice. For a plain‑language overview, visit Talking Can Help: https://www.talkingcanhelp.ca/what-is-therapy-1.
Questions are welcome at any time.

4  SERVICE FORMATS & LIMITS

  • In‑person sessions: held in my North Vancouver office or outdoors (see Nature‑Informed Therapy).

  • Video / phone / text: some non‑verbal cues are lost, so please tell me if you feel misunderstood.

  • Nature‑Informed Therapy involves outdoor risks (weather, terrain, wildlife, public visibility). By signing you accept these risks and take reasonable care for your own safety.

5  CONFIDENTIALITY

I follow the BC Personal Information Protection Act (PIPA) and the CCPA Code of Ethics. Your information can be shared only when:

  1. Supervision – My clinical supervisor reviews files for quality of care.

  2. Safety – I must act if there is risk of serious harm, or report child/vulnerable‑person abuse.

  3. Court order – A judge can require records.

  4. Your consent – e.g., you ask me to consult with a physician.

  5. Electronic messages – Regular e‑mail/text is not secure; if you write to me that way I will reply likewise and you accept the risk.

6  USE OF ARTIFICIAL INTELLIGENCE (AI)

I sometimes use ChatGPT Plus to draft notes or clarify ideas. I send only de‑identified summaries (no names, dates, or unique stories). I edit the output before it enters your record. You may opt out at any time.

7  CIRCLE OF CARE (OPTIONAL)

With your written permission, I can coordinate care with other professionals or support persons. No information is shared without that consent, except in the safety/legal cases above.

8  PRIVACY & SECURITY

My part – Encrypted, Canadian‑hosted storage; secure messaging when possible.
Your part – Use a private space for online and phone sessions, strong passwords, and do not share session links or materials online.

9  SOCIAL MEDIA & SEARCH

I do not provide counselling through social media and will not send friend/follow requests. I may, in a limited and thoughtful way, review publicly available online information (e.g., search results or social‑media posts) when it is relevant to your safety, context, treatment, or counselling goals.

10  RECORD RETENTION

Files are kept 7 years after our final session, then securely destroyed.

11  TECH ISSUES

If tech fails or a reply is delayed beyond two business days, phone 778‑838‑6824.

12  CRISIS & EMERGENCY

Services are limited to booked sessions. I do not monitor messages after hours. For urgent help call 911 or your local crisis line.

13  FEES & CANCELLATION

  • Rate – CAD $150 + GST per 50‑minute session.

  • Pay – CAD e‑Transfer (danlmitchell@hushmail.com), Bitcoin, or Cardano (ADA).

  • Cancel – No charge with ≥24 hours’ notice; otherwise $60 (ask about a Pay‑It‑Forward waiver if needed).

  • Rates can change; you will be notified in advance.

14  FEEDBACK & CONCERNS

Talk to me about any concern, big or small. We can adjust or I can refer you to another professional.

15  LEGAL POINTS (SUMMARY)

  • Services are deemed to occur in British Columbia, Canada.

  • Any claim must be filed in BC and is governed by BC and Canadian law.

  • Liability for damages is limited to the total fees paid by you.

16  WITHDRAWAL

You may pause or end counselling at any time. I may end services with reasonable notice if therapy is no longer appropriate or unpaid balances persist.

17  AGREEMENT TERM & UPDATES

This agreement stays in effect for 7 years from signing or until replaced. I may update terms; you will be asked to review and consent to any material change.

Your information will be encrypted.

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