Client Care and Parental Consent form

Client Agreement – Code of care

  • The client will be treated with respect at all times.
  • Disclosure of all information during the initial consultation and subsequent sessions will remain confidential.
  • The hypnotherapist has a professional obligation to report to relevant authorities any concerns they believe where the client may intend to harm themselves, the therapist, or others.
  • If the client is receiving medical treatment then proper diagnosis must be sought when possible, and health professionals may be informed of hypnotherapy treatment.
  • A copy of the Association for Solution Focused Hypnotherapy Code of practice is available here: AfSFH Policies | AFSFH

Consent for treatment

  • The therapist has clearly explained the procedures and treatment
  • I understand that listening to the therapy MP3 each night is an important aspect to the treatment.
  • I am aware of the therapist has a duty to report any actual or suspected risk of harm to the child to the appropriate authorities.
  • I understand the success of the treatment, in part, is determined by the desire to achieve the changes and the commitment to the format of the sessions.
  • I accept the fee payable and note the 24 hours’ notice of cancellation that is required.
  • A respectful relationship will be maintained between the client and the therapist.

    I have read the above agreement and accept the treatment on those terms:

    I confirm that I have received a copy of the GDPR regulations and understand how my data will be processed and stored:

    I am happy for you to contact my child’s GP if necessary:

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