TELECONSULT CLIENT CONSENT
PURPOSE: The purpose of the "Teleconsult Consent Form" is to get the client's consent in order to participate in coaching or hypnosis appointments via phone, Zoom, or Doxy.me healthcare portal.
RECORDS: Telecommunications (both video and audio) with clients may be recorded and stored, with express consent. Clients coaching and hypnosis information obtained by any session can be used anonymously for further improvements in services, session planning, and program development. Your personal data is protected and never released.
TELECONSULT INFORMATION: Any medical information related to the history, records, and tests of the client will be discussed during the teleconsult appointment with video, audio, or both.
ACCESS: The client accepts that he/she needs access to PC, laptop, or mobile device and a good internet connection in order to have an efficient teleconsult session.
CLIENT RIGHTS: The CLIENT can withdraw his/her consent at any time and can ask questions related to telehealth appointments and technical requirements for telecommunication.
COMPLIANCE: The client understands that our platform(s) used are fully HIPAA, GDPR, PHIPA/PIPEDA, & HITECH compliant and we take all reasonable measures to ensure security, privacy, and confidentiality. We meet worldwide security requirements.
SERVICES: You understand that we do not diagnose, treat disease or provide medical advice at any time. Our services are strictly coach/hypnosis-based. Hypnosis does not offer a 100% guarantee of effectiveness. This is individually based and we hold no guarantee.
PRACTITIONER QUALIFICATIONS: You understand that the services provided are coach and hypnosis-based. Deanna Byrne is not a therapist healing trauma, overcoming abuse, treating addiction, or treating mental illness. If you require assistance in these areas please consult a licensed therapist with a specialized graduate degree in clinical training, they have an extensive foundation of knowledge about the mind, biology, and human behavior. They are qualified and experienced to handle the volatile nature of these illnesses.
MORAL OBLIGATION: A life coach or hypnotherapist has a moral and professional obligation to refer clients to seek therapy if the issues fall outside the scope of their coaching practice. Coaching and therapy can be done effectively at the same time. We reserve the right to cease sessions at any time if this is the case. If we feel at any time that you may harm yourself or others, we all contact 911.