Consent Form – Solution Focused Hypnotherapy
Before beginning therapy with Kim Sweetland of Kim Sweetland Hypnotherapy, this consent form must be completed and returned.
I understand that I am undertaking Solution Focused Hypnotherapy with Kim Sweetland. Kim is qualified, registered and insured to practise hypnotherapy. I understand that Kim is not acting as my counsellor and does not provide counselling or therapies outside the scope of her practice as a Solution Focused Hypnotherapist.
I understand that Kim Sweetland Hypnotherapy is not a crisis service. If I am experiencing a mental health crisis, including thoughts of suicide or of harming myself or somebody else, I will seek appropriate urgent or emergency support.
Client Commitment
By signing this form, I confirm that:
1. I understand the nature of Solution Focused Hypnotherapy and have had the process explained to me.
2. I commit to engaging in a respectful and professional relationship with my therapist.
3. I will not attend any session under the influence of alcohol or drugs. If my therapist believes I am under the influence, the session will not proceed, and I may be charged the full session fee.
4. I understand that results vary and that while therapy has been beneficial for many, there are no guarantees of specific outcomes.
5. I understand that my participation is an important part of therapy, including engaging with agreed activities between sessions where appropriate.
6. I understand it is my responsibility to enquire if I am unsure or do not understand anything relating to my course of therapy.
7. I understand that the therapist's estimated duration of therapy is approximate, and I am responsible for deciding when to space out or end my sessions.
Session Attendance, Payments & Cancellations
1. Sessions should be attended regularly and on time.
2. A £10 deposit is payable when booking a session online. The remaining balance is payable at the session by bank transfer, cash or cheque.
3. If I need to cancel or reschedule a session, I will provide at least 24 hours’ notice by email or text message. If less than 24 hours’ notice is given, I understand that I may be required to pay the full session fee, in accordance with the Terms & Conditions.
4. If I arrive late, my session will still finish at the scheduled time. If I arrive more than 10 minutes late, the session may not be able to proceed and the cancellation terms may apply.
5. If Kim Sweetland needs to cancel or reschedule my session, any payment I have already made for that session will be refunded or transferred to a replacement appointment, as appropriate.
Confidentiality & Data Protection
Therapy sessions are confidential. There may be circumstances where I need to share relevant information, including where there is a serious concern about your safety or the safety of another person, where safeguarding responsibilities apply, or where I am legally required to disclose information. Where appropriate and possible, I will discuss this with you first.
Your personal information and therapy records will be stored securely and handled in accordance with applicable UK data protection legislation and the Kim Sweetland Hypnotherapy Privacy Policy.
Therapy notes will normally be retained for 8 years from the end of therapy, after which they will be securely destroyed.
You have rights in relation to your personal information, including the right to request access to your information and, in certain circumstances, to request that information is corrected or deleted. Full details of how your information is collected, used, stored and protected, and how to exercise your rights, are provided in the Privacy Policy.
In the event of an emergency or unexpected situation where I am unable to contact you regarding an appointment, Christopher Sweetland may be given limited access to the contact information necessary to notify you. He will not have access to your therapy notes or other clinical information.
Additional Considerations
1. There is no parking directly outside the clinic due to resident parking restrictions. Clients must park legally in nearby non-restricted areas or public car parks. Kim Sweetland Hypnotherapy is not responsible for any parking fines incurred.
2. If I am receiving treatment or support from another healthcare or therapeutic professional, I will let Kim know as this may be relevant to my hypnotherapy. Where appropriate, I may be advised to discuss hypnotherapy with the professional involved in my care.