Survey before psychological consultations
In order to provide consultations that best meet your needs, please briefly answer the questions and choose the answer options that best suit you.
Informed consent form
This form provides the information regarding the free of charge psychological counselling services for MRU community (hereinafter โ Clients) at the MRU Psychological Consulting Department (hereinafter โ PCD) and is intended at helping you to decide if following conditions are favourable in your case. Before agreeing with the conditions and signing the document, please read the following information carefully and, if you have any questions or concerns, please discuss them with your Counsellor during your first meeting.
Psychological counselling services are provided to students, academic staff, and employees of Mykolas Romeris University (and, by separate agreement, may also be provided to alumni).
Psychological counselling is a form of short-term psychological support. Generally, up to 5 counselling sessions per academic year are provided to one Client.
The duration of one counselling session is 50 minutes. Sessions are usually held once a week.
The Client must inform the counsellor of their inability to attend a scheduled session no later than 24 hours before the session begins.
If the Client fails to attend a session without notice or provides notice less than 24 hours before the session begins, the session shall be considered as having taken place.
If the Client arrives late, the duration of the session will not be extended. If the Client is more than 15 minutes late, the session may not be conducted and shall be considered as having taken place.
Information disclosed during counselling sessions is confidential and may only be disclosed in cases established by law, including when there is a risk to the life or health of the Client or other people; when information becomes known regarding possible abuse, neglect, or other violations of the rights of a child or another dependent person; or when disclosure is required by a court or another public authority in accordance with the law.
The Client has the right to request a change of counsellor. The counsellor may also suggest changing the counsellor if circumstances arise indicating that such a change would help ensure the appropriate and high-quality provision of support to the Client.
The counsellor has the right to terminate counselling services if the Client:
fails to attend three consecutive sessions, even if notice of absence has been provided;
behaves aggressively towards the counsellor during sessions, or attends sessions under the influence of alcohol or other psychoactive substances;
refuses to seek the long-term, comprehensive, or specialized support that is necessary for them and cannot be provided through the University's counselling services.
If it is determined that the Client requires long-term, specialized, or comprehensive support that cannot be provided through the University's counselling services, the counsellor shall discuss the situation with the Client and recommend appropriate support institutions or specialists.
Emotionally challenging topics may be discussed during counselling, and therefore temporary deterioration in the Client's emotional state may occur during the process. The success of counselling depends on many factors, including the Client's active participation in the process.
By registering for the consultation, I confirm that I read the privacy policy of Mykolas Romeris University: https://www.mruni.eu/en/privacy-policy/
* Mandatory answer
The town where you are studying / working: *
Vilnius
Kaunas
Marijampolฤ
At University you are: *
Student
Employee
Your contacts
Your phone number *
Signing I certify that I understand and agree to abide by the information, terms and conditions contained in this Informed Consent for Counselling Services at MRU Psychological Consulting Department. *
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I agree that my personal data provided during registration (name, surname, e-mail address, phone number) will be processed as far as it is related to the purposes of organizing psychological consultations. *
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