Sample contract for the provision of psychological services. Template of an agreement for the provision of psychological services to a minor

23.09.2019

RULES OF SERVICE PROVISION

OFFICEPSYCHOLOGICAL AND NEUROPSYCHOLOGICAL CORRECTION

(OFFICE OF HEALTH PSYCHOLOGY)

I.General provisions.

1. In accordance with these Rules, the Contractor (IP Yadrishnikova E.N.) undertakes to provide consumers (clients) with services for organizing psychological correction classes (family correction, game correction, neuropsychological correction, special correction, psycho-gymnastics, autogenic training, etc.), and the Customer undertakes to pay for the services provided under the terms of this agreement, as well as to facilitate their provision.

2. In these Rules, psychological correction is understood as: the intellectual activity of a person who has a special (psychological) education in the analysis of psychological, behavioral problems and problems of intellectual and emotional development of the client for the purpose of their further correction using those available in science and practice psychology methods and tools.

3. In these Rules, neuropsychological correction means: the intellectual activity of a person who has a special education in clinical psychology, including, among other special disciplines, such disciplines as neuropsychology, neuropsychology childhood, clinical psychology in expert practice, pathopsychology, psychosomatics, psychology of stress conditions, etc., and allowing analysis of HMF disorders for subsequent psychological qualification and correction of the defect discovered in this case for the purpose of restorative and remedial training using methods that are used in psychological practice.

4. The services provided are not pedagogical or medical services and their provision does not require obtaining a license to carry out pedagogical or medical activities.

5. The place of provision of services is the premises of the Office of Psychological and Neuropsychological Correction, located in the residential premises of the performer at the address: Sverdlovsk region, Verkhnyaya Pyshma, st. Ogneuporshchikov, building 9, owned by the Contractor. The use of residential premises for conducting business activities is carried out in accordance with Art. 17 of the Housing Code of the Russian Federation.

6. The office of psychological and neuropsychological correction is not a group for the temporary stay of children, a kindergarten, a circle, a section or another organization with a joint long-term stay of children or adults. The office does not provide catering services or other social services other than those specified in clause 2 of this section. The maximum time a client stays in the office when providing services is 1.5 hours.

7. The performer’s initial technique, as a rule, consists of stages: psychological analysis of the problem/observation, selection of work methods, determination of the approximate number of techniques (course), work with the identified problem, summing up and explanation of homework. Repeated appointments (classes) consist of stages: discussion of the results of the homework, work according to the plan in accordance with the chosen methodology, summing up the results of the appointment and explanation of the homework. Based on the individual needs of clients and the specifics of services, the stages of reception can be adjusted independently by the Contractor.

8. Initial and final receptions, at the request of the Customer, can be accompanied by a written conclusion. Drawing up a conclusion based on the results of diagnosing existing problems and achieved results is an independent service and is paid in accordance with the price list.

9. Classes with children are carried out only accompanied by a specialist, with the exception of classes in a family group parents-children or grandparents - parents - children on child-parent relationships, group family receptions (classes) and primary group reception, at which the presence of any of the parents is required .

10. Persons under the age of 14 receive services (classes) for themselves only when accompanied by a legal representative (parent, guardian, trustee) or a person acting on the basis of a written power of attorney issued on behalf of the legal representative. Persons aged 14-18 years can receive services independently, subject to the written consent of the legal representative to receive services and pay for them from the funds of the legal representative.

11. All terms of these Rules are binding both for the Customer and for the third party in whose favor the agreement is concluded (the client), if the Customer and the client are not the same person.

12. An integral part of these rules is the Price List and Rules of Conduct for visitors to the psychological and neuropsychological correction room.

13. These Rules are public agreement within the meaning of Art. 426 of the Civil Code of the Russian Federation. The terms of the public contract are the same for all consumers and are not subject to individual adjustment. These rules are the form of the agreement accession within the meaning of Art. 428 Civil Code of the Russian Federation.

14. The text of the Rules is posted on the official website of the Cabinet in the public domain for all visitors, and is also issued in person for review before the appointment. Familiarization with these rules and the client taking actions indicating the intention to receive a service (making an appointment, showing up for an appointment) by virtue of Part 1 of Article 160, Part 3 of Article 434, Part 3 of Article 438 of the Civil Code of the Russian Federation are recognized as a fact concluding a written agreement with each client.

II. Responsibilities of the performer and the customer (consumer) of services

1. The performer is obliged:

1.1. Before the provision of services, provide the Customer with information in accordance with the requirements of Art. 9.11 of the Law of the Russian Federation of 02/07/1992 No. 2300/1-1 “On the protection of consumer rights.”

1.2. As part of the initial appointment, provide information: about the alleged existing psychological problems, developmental problems; about possible methods of psychological work in this case, the need to consult a doctor; about possible changes in the client’s psychological state and temporary emotional discomforts that may arise during the lesson; about the actions that the client must independently perform to achieve and maintain the achieved results of psychological correction.

1.3. Determine for the Customer the required number of techniques in order to maximize the effect of the classes.

1.4. If necessary, offer to undergo additional consultations and examinations with specialists in psychological and pedagogical profiles (special psychologists, speech therapists, speech pathologists, educational psychologists) or in medical institutions in order to clarify the causes of the client’s existing problems. The customer independently and at his own responsibility makes a decision on the implementation or non-compliance of these recommendations of the contractor. If the Customer refuses to follow these recommendations, the Contractor has the right to unilaterally refuse to fulfill the contract in order to avoid causing harm to the client’s psychological health.

1.5. Upon completion of the service, provide the Customer with a document confirming payment for the service provided.

2. The performer has the right:

2.1. Independently determine the schedule for providing services to clients, change it with mandatory notification to the Customer in case of a change in the date of its reception. Make independent decisions about the need to take a break in doses, reduce their number and frequency in accordance with individual characteristics client, psychological correction and work results for a specific client;

2.2. Cancel the appointment if the Customer is more than 10 minutes late for the appointment. In case of repeated (more than 2 times) delays for an appointment, set limits for the client on the possible time for making an appointment; in case of no-shows for an appointment without 24 hours notice, set a reservation for the appropriate time with advance payment; if the Customer is unable to fulfill the meeting agreement, he is obliged to notify the Contractor at least 24 hours in advance. If the Contractor does not receive such notification, the Customer is obliged to pay for the appointment that he missed;

2.3. Not to provide services (refuse to provide them):

a) in the absence of free time in the client’s appointment schedule;

b) if the Customer requires the provision of a service by appearing without an appointment, or after a break in work, due to illness or any other reason, without notifying the Contractor in advance of his intention to appear for an appointment, without agreeing on the service and the time of its provision;

c) if the Customer is in a state of narcotic, toxic or other intoxication, a state of passion or excitement, determined by external signs, and also if for some reason he is not able to understand the meaning of his actions and manage them;

d) if the client’s complaints (description of the problem) are within the competence of a medical specialist;

e) To the customer who violates the Rules of Conduct for visitors in the Office of Psychological and Neuropsychological Correction (Office of Health Psychology);

f) to a customer who systematically fails to complete homework;

g) if between the Contractor and the Customer and (or) the client (if they do not coincide in one person) the relationship of cooperation and trust has not been objectively built in view of the fact that the services have a personal trust (fiduciary) nature, which has a direct impact on efficiency, effectiveness services provided.

2.4. In order to systematize information about the client, track performance, select and change the most effective techniques work The Contractor has the right to accumulate, systematize and analyze material media of the interim results of work with the client (including records, drawings, applications, etc. - hereinafter referred to as the “client’s file”). The client's file is the property of the Contractor.

3. The customer undertakes:

3.1. Be sincere and honest with yourself and the Performer when describing the problems with which he addressed, as well as in the process of further psychological work; show interest in achieving a positive effect from work; do your homework conscientiously. All of the above responsibilities are natural obligations (obligations of “conscience”). The performer notifies the client that in case of failure to fulfill these duties, no sanctions can be applied, however, the client bears the risk of not achieving the predicted result (the positive effect of psychological correction).

3.2. . If you are unable to attend an appointment for a valid reason, notify the Contractor 24 hours in advance.

3.3. Conscientiously familiarize yourself with these Rules, the rules of conduct in the Office of Psychological and Neuropsychological Correction, the price list and confirm the fact of familiarization with a personal signature in the Log of Consent for the provision of services.

3.4. Provide the Contractor with information about existing neurological, mental or other diseases, the symptoms and course of which may affect the results of the services provided. The Contractor notifies the client that if the client fails to fulfill this obligation, the client himself bears the risk of negative health consequences.

3.5. Warn the Contractor if the course of techniques is not completed, and the client will be absent for a long time for any reason, or intends to switch to another specialist.

4. The customer has the right:

4.1. Get reliable and full information about the services provided within the Contractor’s specialization (clauses 1.1., 1.2. of Section 2).

4.2. Choose an appointment time with the Contractor from the available time in the schedule.

4.3. Invite in agreement with the Contractor to receive one relative or other person whom he wishes and whose presence will be necessary to understand the essence of the problem. The presence of an accompanying person does not cancel the Performer’s right to ask the accompanying person to leave the office if the Performer considers this necessary for the process of psychological correction or neuropsychological correction.

4.4. At the final appointment, upon request, receive the service “Professional opinion of a psychologist, clinical psychologist”, having previously agreed and paid its cost in accordance with the price list.

III. Terms of service provision

1. The period for providing a specific psychological service is determined by the date and time of the Customer’s application to the Contractor (Article 190 of the Civil Code of the Russian Federation).

2. The duration of a particular appointment can vary from 40 minutes to 1.5 hours, depending on whether it is an initial or repeated appointment, the age of the client, and methods of working with him.

3. The number of appointments is determined by the Contractor individually for each client, based on the problem expressed by the client and the chosen methods of work.

IV. Quality of services provided. Guarantees. Forecasts.

1. When providing services, the Contractor undertakes to act in good faith, carefully and prudently.

2. The service is considered to be provided with high quality if the Contractor complies with the standard of its provision generally accepted in practice in the territory of the Russian Federation (corrective methods are correctly selected and followed). Achieving a specific expected result is not included in the subject of the obligation to provide services (Regulation of the Constitutional Court of the Russian Federation No. 1-P of January 23, 2007).

3. The services provided by the Contractor involve a possible change in the emotional-volitional state, behavior, and perception of the client, which can in a certain way affect his life.

4. When providing services, the Contractor uses the methods listed in Appendix No. 1 to these Rules, as well as proprietary synthetic methods developed for the purpose of providing services to a specific client in the process of working with him.

5. No part of the author’s synthetic methods (worksheets and assignments) obtained in the Office of Psychological and Neuropsychological Correction can be reproduced, replicated or used for other purposes, in any form, without the written permission of the author (Executor). Transferring worksheets and assignments to third parties who may, wittingly or unwittingly, violate the confidentiality of the information contained in them is prohibited.

6. When providing services, the contractor uses the concept of “forecast” of changes in the personality of a particular client. Due to the intangible nature of the services, guarantees of the occurrence of a certain result or its safety are not established by the Contractor (Article 5 of the Law of the Russian Federation “On the Protection of Consumer Rights”). The discrepancy between the results expected by the client (his legal representative) and those obtained in the process of psychological and neuropsychological correction does not indicate poor-quality provision of services.

7. A positive prognosis for psychological correction directly depends on the client’s compliance with individual recommendations after receiving and completing homework.

V. Price of services and payment procedure

1. Prices for services are determined in the Contractor’s price list, which is an integral part of this agreement. Prices for services can change no more than 2 times a year and by no more than 30% in total.

2. Payment for services can be made both after the provision of the service and before the start of its provision (paragraph 2 of Article 37 of the Law of the Russian Federation “On the Protection of Consumer Rights”).

3. Payment for services is made by the Customer in rubles in cash. In case of shortage Money To pay for the services provided, the Customer personally writes a receipt indicating the amount of debt and the obligation to pay for the services within three working days from the date of the receipt.

VI. Resolving disagreements

1. If a misunderstanding arises between the Contractor and the Customer, if the Customer has questions for the Contractor, if the Customer wants to notify the Contractor about something, he can send an Information Letter to the Contractor.

2. An information letter is not a claim document and is sent to the Contractor if there is a desire to continue receiving services. The information letter can be handwritten, sent by e-mail, through the site form or stated within telephone conversation. The information letter is reviewed within 3 working days, the result of the review can be communicated to the Customer by e-mail, in writing or by phone.

4. In the event of claims regarding the quality of services provided, unwillingness to continue cooperation in the future, or intention to protect interests based on the norms of the Law of the Russian Federation “On the Protection of Consumer Rights,” the Customer has the right to file a formal claim.

5. The claim must be made only in writing, personally signed by the Customer, indicating the specific circumstances of the Contractor’s failure to fulfill its obligations and the requirements that the Customer makes on the basis of the Law of the Russian Federation “On the Protection of Consumer Rights”. The claim is reviewed within 10 working days, the result of the review is issued in writing.

6. The Contractor does not accept claims regarding the quality of services provided, which are based on negative opinions issued by other specialists (psychologists).

VII. Responsibility of the parties

1. The Contractor is released from liability for violation of the deadlines for completing the psychological correction (course), as well as for harm to health that occurred during the provision of services, if it is proven that the deadlines were violated due to the fault of the client, and the harm arose as a result of the client’s violation of the recommendations given by the Contractor ( Clause 6 of Article 28, Clause 5 of Article 14 of the Law of the Russian Federation “On the Protection of Consumer Rights”, Article 1098 of the Civil Code of the Russian Federation).

2. The parties are not responsible for failure to fulfill their obligations under this Agreement if the failure was caused by force majeure, that is, emergency circumstances that neither party could foresee and prevent in advance. The following are recognized as force majeure circumstances: decisions of municipal and state authorities, utility accidents associated with shutdowns of heat, electricity, and water.

The performer's specialty is “Psychologist.” Psychology teacher”, “Clinical psychologist” is a general humanitarian specialty, and not a medical (medical) specialty.

Agreement for the provision of psychologist services dated “____”____________________20____.

Denikina Inna Vasilievna, psychologist-consultant, who is an individual entrepreneur on the basis of state registration certificate No. 313784723100442, hereinafter referred to as “Psychologist” (Executor), on the one hand and Individual __________________________________________________________________________, hereinafter referred to as the “Client”, have entered into this Agreement as follows.

1. THE SUBJECT OF THE AGREEMENT.

1.1 The psychologist undertakes to provide the Services to the client, and the Client undertakes to pay for them under the terms of this Agreement.

1.2 The psychologist undertakes to provide psychological services within the boundaries of his competence to a minor client aged _____ with the consent of his legal Representatives - parents (options for working with a child in Appendix No. 1).

Information about a minor client:

FULL NAME. baby

Date of Birth

The signing of this Agreement constitutes the consent of the legal representatives of the minor in accordance with Art. 26, 28 Civil Code of the Russian Federation.

1.3 The Services in this Agreement mean the client’s participation in psychological activities:

Individual counseling

Psychological therapy

- psychological correction

2. PAYMENT PROCEDURE FOR SERVICES.

2.1. Payment for Services is carried out in cash, by depositing funds into the Contractor's cash desk.

2.2. Cash payment is due at the end of each individual counseling or psychological therapy session.

If psychological consultation takes place using Skype, WhatsApp and other means of communication, then payment is made 100% in advance.

2.3. Price first meeting or one-time consultation (60 minutes): consultation, diagnosis, analysis of what is happening = 3000 rub.

2.4. Subsequent meetings for long-term work are paid according to the contract, depending on the work mode and time you choose

	PRICE
60 minutes
60 minutes- work with preschoolers (45 minutes work with a child + 15 minutes Feedback with parents, or joint (parent + child) activity)
75 minutes(1 hour 15 minutes)
90 minutes(1 hour 30 minutes)

· Children's reception:

The most convenient time 60 minutes (longer sessions cause fatigue).

CHILDREN'S CARE (60 minutes) INCLUDES WORK WITH THE CHILD AND FEEDBACK TO PARENTS (IF FEEDBACK IS CHOSEN BY PARENTS, ACCORDING TO THE TERMS OF THE AGREEMENT - see Appendix No. 1)).

· Adult reception:

You can choose any time convenient for you, but the most convenient: 60 or 75 minutes.

· Family Reception:

The most convenient time is 75 or 90 minutes.

2.5. In case of no-show or cancellation of a lesson on the appointed day to receive the Service on agreed time The client pays a penalty in the amount of 100% of the cost of one hour specialist work.

* This rule ensures the client’s responsibility for being present in psychotherapeutic work, as well as financial security and stability of the Psychologist’s work schedule.

2.6. You must cancel your presence at an individual consultation or correction one day (24 hours) before the appointed time.

In this case, 100% of the missed appointment will not be charged.

2.7. If the Client is late, the appointment time will be shortened, but the appointment will be paid in full.

2.8. If 2-3 sessions in a row are missed (without specifying a reason: business trip, hospitalization, vacation, vacation), then the significance of therapy is called into question and the performer (psychologist) has the right to use your time to transfer it to another client. Illness is seen as psychosomatic resistance to therapy and is taken into account as a symptom.

2.9. In case of a change in the time of the assigned psychological Service, the Psychologist (Performer) is obliged to notify the Client about this no later than 10 - 12 hours before the start of the appointed time. If the Contractor for any reason does not show up for the meeting, then next meeting costs 50% less, and a missed meeting is compensated for free.

2.10. Once a year, the cost of psychological Services increases due to inflation and to prevent depreciation of the therapeutic process (which is typical in any long-term processes).

2.11. Summer work schedule: flexible.

This is due to the vacation period and activities aimed at improving qualifications.

3. ESSENCE OF SERVICE PROVISION.

3.1. The psychologist provides Services strictly in the psychologist’s office. Consulting on e-mail, sms, Vkontakte, on at the client’s home, not possible over the phone. Only face-to-face meetings or Skype meetings.

3.2. The provision of psychological services occurs with a frequency of 1 time per week/1 time per two weeks atindividual meetings. Less frequent meetings do not ensure sufficient intensity of processesself-knowledge of the Client, which can help the desired changes and are advisory (one-time consultations).

3.3. The Psychologist may consider meeting more frequently if the Client feels this is needed.

3.4. The psychologist, if necessary, is ready to accept the Client outside of the schedule, if there is time for this in the schedule Psychologist.

3.5. Some Clients need only a few counseling sessions to achieve their goals, while others may require months or years of counseling relationship. Psychologist's office It is advisable to visit until the Client feels the changes necessary for him.

3.6. The obligations under this Agreement come into force from the moment of signing and are valid until the end of the entire psychological services course. After the end of the psychological Service period, the parties discuss the results

psychological impact and make a decision either to terminate or to continue psychological services.If a decision is made to continue the psychological Service, the parties enter into a New Agreement.

4. RIGHTS AND OBLIGATIONS.

4.1. The psychologist undertakes

* Provide the psychological Service requested by the Client

* Provide psychological Services according to the assigned schedule and the Client’s request

* Purposefully influence the Client or strive for this within the framework of the set goal.

*Do not disclose information about the Client or the results of his work and do not provide access to third partiesto this information, incl. and representatives of minor children without their consent. Except

cases in which they committed or m.b. crimes have been committed, or in cases aimed at client protection.

4.2. The psychologist has the right:

* Refuse to provide Services to the Client if:

The client is registered at a psycho-neurological clinic;

Criminal and ethical standards are violated;

There are temporary organizational reasons.

In any case, the Psychologist informs the Client of his readiness to work with his situation.

*The Contractor is not responsible, either to the Client or to third parties, for the qualityand the consequences of the services provided to the Client and does not return the payment made if the Client has hidden from the performer that he is registered in a psycho-neurological dispensary, and also hid or distorted other information necessary for the Contractor to provide high-quality psychological Services.

*Refuse to provide psychological Services if the Client fails to comply with the Psychologist’s recommendations.

*Suspend services psychological services in case of illness, relocation, etc., about which in advancewarns the client.

* Use materials from psychological consultations for methodological purposes, for professionalsupervision or intervision, as examples of psychological work, without indicating namesClient data (Information Agreement, Appendix No. 2).

4.3. The client is obliged:

* Order a psychological service yourself.

The Psychologist’s working conditions require the following from the Client:

A detailed, detailed description of the situation, circumstances, one’s condition, feelings, experiences;

Clear, direct and sincere answers to questions asked by the Psychologist;

Doing homework related to solving the Client’s problem situation.

* Arrive to the meeting on time at the appointed time, if impossible - in advancewarn the psychologist.

*If it is necessary to complete psychological work, you need to notify the Psychologist about thisin advance (at least one meeting before the end of the course) and hold a final meeting forsumming up the results of the work.

4.4. The client has the right:

* Receive from the Psychologist the provision of psychological Services in the volume and quantity appropriateterms of this Agreement.

*Receive meaningful information regarding all psychological Services (methods, exercises andetc.) provided by the Psychologist in the process of working with the Client.

*If you are dissatisfied with the way the psychological Service is provided, discuss this with the Psychologist.Deadlock or difficulty in work may indicate hidden opportunities that are not being used; The fact that work tasks are set inaccurately or the wrong way to achieve them is chosen. Except Moreover, the feeling of a dead end may be part of the Client’s internal process, which is also importantinformation for both parties.

*Stop using the Service if you are not satisfied with its quality, content or conditions and terminate the contract.

5. RESPONSIBILITY OF THE PARTIES.

The parties shall settle all disagreements under this Agreement through negotiations.

On all issues not regulated by this Agreement, the parties are guided by the current legislation of the Russian Federation.

6. SIGNATURES OF THE PARTIES.

Psychologist (full name) Denikina Inna Vasilievna Phone 903 – 18 – 74 Date______

Client (full name)_________________________________________Telephone___________________________Date______

APPENDIX No. 1: OPTIONS FOR WORKING WITH A CHILD

1) Individual lessons with a child – 60 minutes. Minimum 10 meetings (the number of sessions depends on the degree of trust, the complexity of the problem and the child’s readiness to work). Classes are aimed at solving problems of intellectual or emotional-personal development. With this type of classes, feedback is not given to parents after each lesson.

The rule of confidentiality and safety of the client - the child - is ensured (it is important that the child feels that all his thoughts, feelings, motives for actions, etc. are not “reported” to the parents, but are his personal space). Parents can, if necessary, obtain psychological assistance in the form of consultations or your own psychological therapy.

2) Joint activities between the child and the parent(s) – 60 minutes or 45 minutes of lessons with the child + 15 minutes of feedback to parents. The number of meetings is determined in the process of psychological assistance. Classes are aimed at solving problems of parent-child relationships in the family, emotional and personal problems, communication and communication difficulties.

A mandatory condition when providing psychological assistance to children under 5 years of age, i.e. family therapy only.

APPENDIX No. 2 to the Agreement on the provision of psychological services

Dear clients, as a professional I undertake to attend supervision to improve the quality of my work. With the introduction of new legislative rules, I have the right to present your case only with your permission. Therefore, I ask you to fill out an informed consent, the essence of which is that you know about this form of work of your psychologist and give your consent to it. Of course, I guarantee confidentiality: not to disclose your personal data (full name) and work during supervision only with your case. You also have the right not to give such consent, and I undertake not to publicize your case anywhere and not to subject it to analysis in the professional community.

Informed consent

It is a document of limited access and distribution, requiring confidentiality. Kept by a specialist. Ex. N1.

I, ___________________________________________________________________________________

(full name)

I confirm the voluntariness of participation in psychological counseling, psychotherapeutic assistance, psychoanalytic work, research activities carried out by specialist ________________________Denikina Inna Vasilievna___________________________________

I am familiar with the rules of anonymity and confidentiality in psychological counseling, psychotherapeutic assistance, psychoanalytic work, supervision and the use of materials provided by me.

I voluntarily and consciously give permission to (cross out what is unnecessary):

1. Supervision of my case in a professional environment, in order to improve the quality of the work performed;

2. Audio and (or) video recording of supervision;

3. Audio and (or) video recording of the therapeutic process.

4. Use of materials provided by me for the purpose of teaching students;

5. Publication of a case of our joint work in professional literature;

__________________ _____________________ ______________________

date client signature specialist signature

Agreement No. ____for the provision of psychologist services in the city of Ufa "___"________ ____
IP Fomin Alexander Vadimovich represented by ______________, referred to as (full name, position) hereinafter “Executor”, on the one hand, and ___________________________,
(Full name) residing at the address: ___________________________________________________,
(address of residence) passport series _____________ N ________________, issued by "___"________ ____
___________________________________________________, hereinafter referred to as__
(name of division)
“Customer”, on the other hand, have entered into this Agreement as follows:

1. The Subject of the Agreement

1.1. The Contractor undertakes to provide psychological services, and the Customer undertakes to accept these services and pay for them in accordance with the terms of this Agreement.
1.2. Services are provided in ___________________________, located at the address: Ufa, st. Zainab Bisheeva 6.
(name of the psychological assistance center)

2. Rights and Obligations of the parties

2.1. The performer is obliged:
2.1.1. Organize and provide psychological assistance to the Customer in the form of face-to-face individual consultations, which include an interview, testing and development of recommendations.
2.1.2. When conducting consultations, use the necessary modern and safe methods and ways to provide psychological assistance.
2.1.3. Create the necessary conditions for the normal and high-quality provision of services, to ensure the safety of the process of their provision.
2.1.4. Ensure the confidentiality of information received from the Customer during consultations.
2.2. The Contractor has the right, if it is impossible to provide services at the agreed time, to offer the Customer to reschedule the date and/or time of service provision.
2.3. The customer is obliged:
2.3.1. Provide the Contractor with complete and reliable information about the complication he has for which he applied for the service.
2.3.2. Timely and fully pay for the services provided in accordance with the terms of this Agreement.
2.3.3. Warn the Contractor in advance about the impossibility of receiving the service at the agreed time.
2.4. The Customer has the right to refuse to receive services under this Agreement by notifying the Contractor in advance.

3. Cost of services and payment procedure

3.1. The cost of services is _______________________________________.
3.2. Payment for services is made in the following order: ___________________.

4. Amendment and termination of the Agreement.

4.1. The terms of this Agreement may be changed by mutual agreement of the Parties.
4.2. The Customer has the right to refuse to fulfill the Agreement subject to payment to the Contractor of the actual expenses incurred by him.
4.3. The Contractor has the right to refuse to fulfill the Agreement only if the Customer is fully compensated for losses.

5. Responsibility of the Parties

5.1. In the event of improper performance of this Agreement by one of the Parties, resulting in adverse consequences for the other Party, liability shall arise in accordance with current legislation Russian Federation.

6. Final provisions

6.1. In all other respects that are not regulated by this Agreement, the Parties are guided by the current legislation of the Russian Federation.
6.2. This Agreement comes into force from the moment of its signing and is valid for _________________________________________.
6.3. The Agreement is drawn up in 2 copies having equal legal force, one copy for each of the Parties.

7. Addresses and details of the Parties

7.1. Performer: IP Fomin Alexander Vadimovich

7.2. Customer: __________________________________________________________

8. Signatures of the Parties

Executor: Customer:
__________/IP Fomin A.V. __________/___________
(signature) (full name, position) (signature) (full name)
M.P.

Agreement No. ____ for the provision of psychologist services in the city __________ "___"________ ____ the city _________________________________________________________________________ (name or full name) represented by ______________, acting on the basis of ________________, referred to as (full name, position) (charter , regulations, powers of attorney) hereinafter “Executor”, on the one hand, and ___________________________, (full name) residing at: ___________________________________________________, (address of residence) passport series _____________ N ________________, issued "___"________ ____ ___________________________________________________, hereinafter referred to as (division name) “Customer”, on the other hand, have entered into this Agreement as follows:

1. The Subject of the Agreement

1.1. The Contractor undertakes to provide psychological services, and the Customer undertakes to accept these services and pay for them in accordance with the terms of this Agreement.

1.2. Services are provided in _________________________________, located at (name of the psychological assistance center) address: _______________________________________________.

2. Rights and Obligations of the parties

2.1. The performer is obliged:

2.1.1. Organize and provide psychological assistance to the Customer in the form of face-to-face individual consultations, which include an interview, testing and development of recommendations.

2.1.2. When conducting consultations, use the necessary modern and safe methods and methods of providing psychological assistance.

2.1.3. Create the necessary conditions for the normal and high-quality provision of services, ensure the safety of the process of their provision.

2.1.4. Ensure the confidentiality of information received from the Customer during consultations.

2.2. The Contractor has the right, if it is impossible to provide services at the agreed time, to offer the Customer to reschedule the date and/or time of service provision.

2.3. The customer is obliged:

2.3.1. Provide the Contractor with complete and reliable information about the complication he has for which he applied for the service.

2.3.2. Timely and fully pay for the services provided in accordance with the terms of this Agreement.

2.3.3. Warn the Contractor in advance about the impossibility of receiving the service at the agreed time.

2.4. The Customer has the right to refuse to receive services under this Agreement by notifying the Contractor in advance.

3. Cost of services and payment procedure

3.1. The cost of services is _______________________________________.

3.2. Payment for services is made in the following order: ___________________.

4. Amendment and termination of the Agreement.

4.1. The terms of this Agreement may be changed by mutual agreement of the Parties.

4.2. The Customer has the right to refuse to fulfill the Agreement subject to payment to the Contractor of the actual expenses incurred by him.

4.3. The Contractor has the right to refuse to fulfill the Agreement only if the Customer is fully compensated for losses.

5. Responsibility of the Parties

6. Final provisions

6.1. In all other respects that are not regulated by this Agreement, the Parties are guided by the current legislation of the Russian Federation.

6.2. This Agreement comes into force from the moment of its signing and is valid for _________________________________________.

6.3. The Agreement is drawn up in 2 copies having equal legal force, one copy for each of the Parties.

7. Addresses and details of the Parties

7.1. Performer: ______________________________________________________________

7.2. Customer: __________________________________________________________

8. Signatures of the Parties

Contractor: Customer: __________/____________________ __________/___________ (signature) (full name, position) (signature) (full name) M.P.

City of Moscow “_” __ 201_

Society with limited liability“Center for Special Research and Expertise”, represented by general director Andrey Vasilievich Losev, hereinafter referred to as the Contractor, acting on the basis of the Charter, Diploma series VSB No. 0284499 (reg. No. 924-U) and Diploma series VSG No. 5019366 (reg. No. 113408) on the one hand, and _______________________________________________________________________________, referred to as , -th) hereinafter the Customer, on the other hand, has entered into this Agreement as follows:

1. The Subject of the Agreement

1.1. The Customer instructs and the Contractor accepts obligations to provide psychological, psychotherapeutic, correctional and (or) consulting services on the issue of individual psychological work with the Customer.

1.2. Place of service provision: Moscow,

1.3. Term of provision of services: from “___” ________ 201__ according to "____" ________ 201__

1.4. Total duration of services: ___ (_______________) hours.

2. Rights and Obligations of the parties

The Contractor undertakes:

Organize and ensure proper performance of the services provided for in Section 1 of this agreement in accordance with the level of qualifications provided for by the State Educational Standard of Higher Education vocational education in specialty 020400 “PSYCHOLOGY” and direction 521000 “Psychology” within the boundaries of their competence, which is determined by education, forms of advanced training and relevant professional experience.

During the provision of psychological services, observe the Psychologist’s Code of Ethics, show respect to the customer, protect him from all forms of physical and psychological violence, provide conditions for strengthening moral and psychological health, emotional well-being, taking into account his individual and psychological characteristics.

Do not disclose information about the customer or the results of their consultation and do not provide third parties with access to this information, incl. close relatives without the customer’s consent.

Do not disclose to third parties information about the customer’s personal data that has become known to the Contractor, including any information relating to him, including last name, first name, patronymic, year, month, date and place of birth, address, family, social, property status , education, profession, income and other information related to the client, except for cases provided for by the legislation of the Russian Federation, and also if this is aimed at ensuring the necessary professional help To the customer andListeners, provision of necessary professional consultations, protection.

Provide psychological, diagnostic, correctional and consulting services orally in the amounts provided for in this agreement.

The Contractor has the right, at his own discretion, based on the commercial needs and goals of the customer, to adjust the form of provision of services and their content, to involve third-party specialists in the performance of services, if this does not contradict the current legislation and the Code of Ethics of a Practical Psychologist

The Customer has the right, within its competence, to make proposals to the Contractor for adjusting the form of provision of services and their content.

The customer undertakes:

Pay for the Contractor's services in accordance with Section 3 of this Agreement.

3. Price and calculations

3.1. The contract price is _______ (______________________) rubles, based on the cost of one session (60-90 min) in the amount of 700 rubles. Payment is made by depositing funds into the contractor's bank account or into the company's cash desk.

4. Duration of the Agreement

The Agreement comes into force from the moment it is signed and terminates after the Parties fulfill their obligations.

5. Responsibility of the parties

For violation of the terms of this Agreement, the Parties are liable in accordance with the current legislation of the Russian Federation.
The parties are released from liability for partial or complete failure to fulfill obligations under this Agreement if this failure was a consequence of force majeure circumstances that arose after the conclusion of the Agreement as a result of delays in flights or trains, events emergency which the participant could not have foreseen or prevented by reasonable measures (force majeure). Such emergency events include natural disasters, military actions, acts of state authorities and administration.

The parties are not responsible for each other's expenses.

6. Amendment and termination of the Agreement.

All amendments and additions to this Agreement are valid only if they are accepted by agreement of the Parties and made in writing.

7. Final provisions of the Agreement

All disputes and disagreements arising under this Agreement or in connection with it are resolved through negotiations between the Parties.
On all issues related to the execution of this Agreement, the Parties are guided by the current legislation of the Russian Federation.
This Agreement is drawn up on two pages, in two copies, one for each Party.