Client Agreement and Code of Care

Please complete the information below and click SIGN at the bottom.

Please note a copy of my insurance certificate and or DBS certificate can be reviewed by request.

Important you must read, accept and click to accept the conditions

ü The client will be treated with respect and care at all times.

ü Disclosure of all information during therapy and consultations remains confidential.

·       The hypnotherapist has a professional obligation to report to relevant authorities any concerns if they believe the client may be intending to cause harm to themselves, the therapist or others.

·       A query on suitability or conflict of therapy with other treatment practitioners may have to be sought occasionally, with client permission.

·       The client agrees to aspects of their case being discussed with a supervisor, if necessary, on an anonymous basis.

ü If receiving medical treatment of any kind, it is recommended that proper diagnosis is sought where relevant, to assist the therapist and also to inform those professionals of your enquiries toward Hypnotherapy.

ü A full copy of The Association for Solution Focused Hypnotherapy’s Code of Practice is readily available.   

Treatment Consent

ü The therapist has fully explained the procedures and treatment.

ü I understand that I will need to listen to the relaxation CD/Download and to consider the content of the sessions in order to enhance the success of the treatment.

ü Although my ‘belief’ in my ability to change is not so important, I do understand the treatment’s success is linked to my ‘wanting’ to change and therefore my commitment to the sessions.

ü Respect for the client and therapist will be constantly maintained.  


ü I understand and accept the fee payable and note the 24 hours’ notice of cancellation of appointment that is required, otherwise half the fee will be charged.