2023-2024 Clinical Psychology Support Service Application Form


Service User Consent Form

Please read this statement carefully before you accept assessment and consultation services at Pathways.

Personal Data (Privacy) Ordinance

In order to provide the services which best suit your needs, you are invited to provide complete and accurate personal data to Pathways. Personal information will be provided for the purpose of record, assessment, treatment and supervision, etc.

Pathways will not disclose your personal data to any third party without your prior consent, unless:

  • Hiding / not disclosing this information could pose a serious hazard to the physical or mental health or safety of yourself or others.
  • Permitted or required by law.
I acknowledge that I have understood and am willing to abide by the above statement before accepting the service.