Hypnotherapy Consent Form & Information

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 

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What hypnosis is NOT:

• you cannot be made to do anything against your will or values

• you will not lose control or consciousness

• hypnotherapy is not mind-control

• results cannot be guaranteed

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

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Cancellation Policy

Sessions can be cancelled or rescheduled by phone, text or email.

Please provide a minimum of 48 hours' notice if you need to cancel or reschedule an appointment.

As a self-employed therapist in private practice, this policy is applied strictly.

• Appointments cancelled with less than 48 hours' notice will be charged a 50% cancellation fee

• Appointments cancelled within 24 hours of the scheduled time, or appointment that are missed without notice, will be charged the full session fee (100%)

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.

• hypnotherapy may bring up thoughts, feelings or memories. I understand support will be provided, and I may stop the process at any time.

• You may also 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.

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