Hello, and thank you for your booking. Please fill in and sign this intake form.

Sessions will be over Zoom. A link would have been automatically generated for you when you made the booking; please let me know if it hasn't. 

Your permissions

These are the legal bits that you need to read and consent to if we are to work together.

Terms & Conditions

Please read these terms and conditions. If you agree to them, please tick the ‘I agree to abide by these terms and conditions’ box below.

Attendance

You agree to turn up at the scheduled time – if you are in a time zone other than London (GMT in the winter months and BST in the summer months), please double-check what time your session is.

You will attend our session fully committed to working with me to help your issue(s). If you turn up late, the session can’t also run late, so your time with me will be shorter.

You agree to make sure your device is fully charged or plugged in.

Refund policy

There are no refunds once a session has been concluded.

My schedule is tight, so I don’t have the time or room to keep changing appointments. 

If you wish to change a booking, you can do so for no charge provided a) you do it through your initial booking link and b) at least 48 hours (2 days) in advance.

If you wish to cancel your booked session, you can have a full refund provided you give at least a full seven days' notice.

If you cancel within two days of our session, a 50% fee will be incurred (that is, you will get 50% back and I will retain 50%).
- - - - - -
If you agree with these terms and conditions, please tick/check the 'Yes' option under 'I agree to these terms and conditions'. 

Results

All my clients have experienced profound realisations and/or breakthroughs and/or full cures. However, as is the case with any other session with a therapist, coach, psychiatrist or doctor, results cannot be guaranteed.

Results will be affected if you are under the influence of alcohol or drugs; this means you must attend your session free from the influence of mind-altering substances.

Your session will not go as well as you wish if you are not 100% committed to finding the cause of your issue(s); this means you must attend your session with an open mind and a determination to succeed.

If you are okay with these provisos, please tick/check the 'Yes' option of 'I understand and am okay with these provisos' below.

Memories

In the session

Before a hypnotherapy session starts, I will discuss with you if you wish to explore the causes of your current issues - these will often be suppressed memories that reveal themselves. While often illuminating and interesting, discoveries during these sessions can be unexpected and maybe even upsetting. 

Sometimes, clients spontaneously remember things without being prompted to in a hypnotherapy session and even sometimes during a Tapping session. You must be aware that this can happen even if I do not guide you to these memories.

By signing this form and attending one or more sessions with me, you agree you will not hold me liable for any unexpected memories.

If you are okay with this, please tick/check the 'Yes' option of 'I understand memories may come up and am okay with this.'

Your data and data protection

Your data will be stored securely according to GDPR guidelines. 

This means I will keep your information according to strict GDPR guidelines.

If you are okay with this, please tick the 'Yes' part of 'I understand my data will be stored under GDPR guidelines'.

And lastly

1. Sign this form using your device’s mouse, touchpad or touchscreen.
2. Give today's date using the UK day, month, year format, with the month written out. (Example: 12 October 2021.)
3. Click 'I am human' and ‘submit’ to send your information.
Many thanks, and I look forward to seeing you soon,