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Consent Form

Code of Care

  • The client will be treated with respect at all times.

  • Disclosure of all information during the Initial Consultation and subsequent sessions will remain confidential.

    • The Hypnotherapist has a professional obligation to report to relevant authorities any concerns they believe where the client may intend to harm themselves, the therapist, or others.

    • A query on the suitability or conflict of therapy with other treatment practitioners may have to be asked occasionally, with client permission.

    • As part of the hypnotherapist's professional practice, they will attend regular supervision sessions and your case may discussed with other qualified hypnotherapists. Your identify will not be disclosed and no personal details will be shared.

  • Nicole Child and NC Hypnotherapy are based in the UK, under English and Welsh law, and governed by UK jurisdiction.

  • A full copy of The Association for Solution Focused Hypnotherapy’s Code of Conduct, Performance, and Ethics is available here.

  • This complies with that of the CNHC, a Department of Health supported Register, in which Nicole Child is a registered member.

  • It is advised that you consult your doctor before having complementary therapy, including Hypnotherapy.

  • It is important to note that results may vary from person to person.

Cancellation Policy

  • I operate a busy practice with a waiting list. Please be considerate when cancelling an appointment, and where possible give at least 24 hours notice.

  • The appointment fee will be charged in full, if there is less than 24 hours cancellation notice given.


Therapy Consent for treatment

  • The therapist has fully explained the Hypnotherapy procedure and process to my satisfaction.

  • I understand that I will need to listen to the relaxation audio (not while driving or operating heavy machinery) and to consider the content of the sessions in order to enhance the success of the treatment.

  • I understand that results may vary and the success of the treatment, in part, is determined by the desire to achieve the changes and the commitment to the format of the sessions.

  • A respectful relationship will always be maintained between the client and the therapist.

I am happy for you to contact my GP (This will always be discussed with you beforehand)

Thank you for submitting.
I look forward to speaking with you in our next session.

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