top of page
Meditation Pose

Hypnotherapy Consent Form & Information

✨ Hypnotherapy Terms & Conditions

Hypnotherapy is a collaborative process that uses relaxation, visualisation, and focused attention to support personal change, stress reduction, and self-improvement goals.

​

Hypnotherapy is not a substitute for medical, psychological, or psychiatric treatment and the hypnotherapist does not diagnose, treat, or cure medical or mental health conditions.

The nature of the sessions: 

  • Sessions may include hypnosis, guided visualisation, coaching conversations, and related therapeutic techniques.

  • The duration of each session is approximately: 50 minutes.

  • Number of expected sessions: as discussed, individual to each client

  • Sessions are 1:1 ... due to the nature of the session, there can only be the client and the therapist in the room, no distractions, no children or other adults

  • sessions may be recorded for use at home by the client only 

Client Responsibilities:

  • Participate willingly and follow the guidance offered during and between sessions.

  • Communicate openly with the hypnotherapist about any concerns or changes in your condition.

  • Refrain from attending a session under the influence of drugs or alcohol.

Hypnotherapist Responsibilities: 

  • Provide a safe, confidential, and supportive environment for all sessions.

  • Maintain professional boundaries and follow ethical standards of practice.

  • Respect client autonomy at all times.

Confidentiality: 

All information disclosed during hypnotherapy sessions is kept strictly confidential, except in situations where disclosure is required by law, including but not limited to:

  • If there is risk of harm to self or others

  • Court orders or legal mandates

  • Abuse or neglect disclosures 

Fees & Payment:

Session Fee: £60

Payment is due:

By Bank Transfer before each session

Cash at the beginning of each session

​

Cancellation Policy:

Clients must give at least 24 hours notice to cancel or reschedule.

Late cancellations or missed appointments may be charged at: Partial rate of 50%​

Consent Form: 

By signing below you understand that:

  • Hypnosis is a natural, safe state of focused attention.

  • Results vary from person to person and cannot be guaranteed.

  • You may stop a session at any time.

  • You remain in control and can bring yourself out of hypnosis whenever you choose.

Medical Disclaimer:

It also confirms that you have informed the hypnotherapist of any relevant medical or psychological conditions.

You understand the hypnotherapist does not:

  • Diagnose conditions

  • Prescribe medication

  • Provide medical or psychological treatment

 

If necessary, You agree to seek advice from your GP.

​

Hypnotherapy: 
Client Consent Form

Please complete this short consent and intake form so that we can work together.

Have you had hypnotherapy before?

Useful Health Information:

Are you currently under any medical or psychological care?
Are you on any current medications?

Useful Lifestyle Information:

Sleep Quality:
Alcohol use:
Recreational Drugs:
Smoking or Vaping?
Hypnotherapy Session Preferences

Thanks for submitting!

Best Self Therapy

... with Delyth Cole 

bottom of page