TWLT RTT Intake Form Logo
  • TWLT Rapid Transformational Therapy (RTT)

    Intake Form
  •  - -
  •  -
  •  -
  • Health Details

  •  - -
  • Disclaimer
     

    The information, techniques, methods and recommendations by me are not intended to substitute for the diagnosis and care of a qualified doctor. If you use hypnosis and are under medical care for any condition(s), do not make any adjustments to any prescribed medication without the approval of your doctor. If in any doubt, you should seek medical advice.

     

    People with Epilepsy or any person diagnosed as having a psychotic illness should not enter hypnosis. Thashna Walsh Lifestyle accepts no responsibility whatsoever. Under no circumstances including but not limited to negligence shall Thashna Walsh Lifestyle be liable for any special or consequential damages in any way whatsoever now or in the future that result from the use of or the inability to use hypnosis, advanced hypnotic techniques, hypnotherapy or any other therapies. 

     

     

    I have taken due care and attention with the information provided at this therapy session and information is given in good faith. The information given is not intended to constitute medical advice. Always consult your GP before changing medications and evaluating treatment alternatives.

     

    I do not accept responsibility for any loss or damage resulting from the use of information provided. You agree to indemnify and hold us harmless by signing and agreeing to these conditions.
     

    Declaration
     

    The information I have given here is to the best of my knowledge, full and correct. I undertake therapy/practice sessions on the understanding that it is a collaborative process, and that progress depends in part upon my own motivation and participation.

     

    I accept that all appointments not cancelled within 48 hours will be charged in full. Not applicable to practice sessions
      

  •  - -
  • Clear
  • Should be Empty: