New Client Discovery Intake Form

First things first. Tell me some of your demographic background and how you'd like me to refer to you!

Client Participation

The client is required to fully engage in the therapeutic process, which includes active participation in virtual sessions and consistent use of audio materials provided. Hypnotherapy has proven to be an effective form of treatment; however, success is contingent upon the client's commitment and cooperation, which the client hereby acknowledges.

The integration of audio materials between sessions is crucial to the efficacy of the therapy, and the importance of this will be thoroughly explained during the initial consultation. It is important to note that results may vary from individual to individual.

If a client participates in a virtual session under the influence of drugs or alcohol, the therapist reserves the right to terminate the session immediately and charge the full session fee.

Following the initial appointment, clients will be provided with a secure link to access a private area on our website. This space is designated solely for the client and contains session notes, audio recordings, and documents necessary for homework and self-care activities.

Clients are expected to uphold confidentiality and are not permitted to share or distribute any materials or information obtained from this secure section of the website with others.

For clients who opt for audio-only sessions, the necessary materials will be delivered via email in the form of audio files. Please note that clients who choose this option will not have access to the secure area of our website.

By engaging in our services, the client agrees to these terms and is committed to actively participating in the therapeutic process.

Coaching Terms and Conditions

Please carefully read and understand the following terms and conditions to ensure clear expectations and a successful partnership moving forward.

This Client Agreement is established between Deanna L. Byrne (Deanna L. Byrne Coaching) and yourself, as named at the beginning of this form.

1. Personal Responsibility: As a client, I acknowledge and accept full responsibility for my physical, mental, and emotional well-being during my coaching sessions. This includes my choices, actions, and decisions. I am aware that I have the autonomy to discontinue coaching at any point.
2. Nature of Coaching: I understand that coaching is a Professional-Client relationship designed to facilitate the creation and development of personal, professional, or business goals, as well as the strategy and action plan needed to achieve those goals.
3. Scope of Coaching: I acknowledge that coaching may encompass various areas of my life, including work, finances, health, relationships, education, and recreation. I agree that how to navigate these areas, integrate coaching, and implement my choices is solely my responsibility.
4. Distinction from Mental Health Services: I understand that coaching is distinct from mental health diagnosis or treatment, as defined by the Canadian Mental Health Association (CMHA), and is not a substitute for counseling, psychotherapy, mental health care, or substance abuse treatment. If I am currently under psychiatric care, I will consult with my healthcare provider to confirm that coaching is a suitable complement to my ongoing care.
5. Confidentiality: I understand that all information shared during coaching sessions will be kept confidential, except as required by law or if I disclose intentions to harm myself or others, in which case the necessary actions will be taken to ensure safety.
6. Anonymous Sharing for Professional Development: I understand that my coach, Deanna Byrne, may share anonymized and hypothetical scenarios based on our sessions with other coaching professionals for training, education, or consultation purposes, ensuring that any identifiable details are altered to maintain my privacy.
7. Seeking Professional Advice: I acknowledge that coaching is not a substitute for professional legal, medical, financial, or business advice, and I will seek independent professional guidance for matters in these domains. All decisions and actions in these areas are my responsibility.
8. Insurance and Financial Responsibility: I understand that professional coaching is not classified as medical consultation or treatment and is therefore not covered by health insurance. I agree to the financial terms outlined for my sessions and will ensure all payments are completed as agreed.
9. Commitment to the Process: I am committed to actively participating in the coaching process, meeting all challenges, adhering to the program outlines, and fulfilling accountability timelines.
10. Financial Investment and Session Planning: I agree to the financial investment associated with my sessions, which will be clearly outlined and agreed upon prior to the commencement of sessions. My session "action plan" will be determined and communicated to me in advance.
    Cancellation and Refund Policy: I understand that sessions must be pre-paid and that the payment refund policy will apply in the event of cancellation or no-shows.
11. Non-Refundable Fees: I acknowledge that session fees are non-refundable. In the event of service cancellation, each case will be assessed individually, and any potential refunds will be determined at that time, with an automatic deduction of a $175.00 + HST administration fee and any applicable session charges.
12. Payment Before Service: No session work, program handouts, or related materials will be provided until full payment is received.
13. Intellectual Property: I understand and agree that all materials, tools, recordings, workbooks, and related content provided are proprietary information, protected under copyright law. Any form of sharing, duplication, or reproduction is strictly prohibited.
    
    
    By engaging in this coaching partnership, I acknowledge that I have read, understood, and agree to these terms and conditions.

Disclaimer for Life Coaching, Spiritual Coaching, and Hypnotherapy Services Provided by Deanna L. Byrne Coaching

Please carefully read and understand the following disclaimer related to the Life Coaching, Spiritual Coaching, and Hypnotherapy services provided by Deanna L. Byrne Coaching.

The services offered by Deanna L. Byrne Coaching, including Life Coaching, Spiritual Coaching, and Hypnotherapy, are intended to support and empower clients in achieving their personal and spiritual goals and in enhancing their overall well-being. These services are not a substitute for professional medical advice, diagnosis, or treatment, nor are they intended to replace the services of trained mental health professionals.

As a client, you acknowledge that you are fully responsible for your well-being during our sessions, including your choices, decisions, and actions. You understand that Deanna L. Byrne Coaching does not provide medical, psychological, or psychiatric services, and that these coaching and hypnotherapy services are not intended to be a substitute for professional medical or mental health care.

The methods and techniques used in Life Coaching, Spiritual Coaching, and Hypnotherapy have helped many individuals; however, they may not be universally accepted and their efficacy is not guaranteed. Results vary from person to person, and success is dependent upon your active participation, commitment, and implementation of the strategies discussed during sessions.

Any content, information, or resources provided by Deanna L. Byrne Coaching, whether on the website, in sessions, or through other means, are for informational purposes only and are not intended to be professional medical or psychological advice. Deanna L. Byrne Coaching is not liable for any actions taken by you based on the content or information provided.

By engaging in Life Coaching, Spiritual Coaching, or Hypnotherapy services with Deanna L. Byrne Coaching, you are confirming that you have read, understood, and agreed to the terms and conditions outlined in this disclaimer. You acknowledge and agree to assume full responsibility for your well-being and you understand and agree that Deanna L. Byrne Coaching is not responsible or liable for any actions taken by you based on your interpretation of the information provided during our sessions or through other communications.

Now that you're done... Go ahead and click the submit button!

If you have any questions, please feel free to e-mail me at info@deannabyrne.com 

I look forward to seeing your answers and connecting with you soon!

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