Contract Agreement

Please read the following carefully:

1) I have been advised by Stop Hypnosis the scope of the therapies he provides and give
my full consent to receiving therapy sessions from Stop Hypnosis. I understand that
results vary from person to person, and the agreement by Stop Hypnosis to work on
the issues or problems presented by me, using whatever model or models are
appropriate to my situation, in no way implies or guarantees a ‘cure’ of the said issues
or problems.

2) I understand that therapy is not a replacement for medical treatment, psychological
or psychiatric services. I also understand that Stop Hypnosis does not treat, prescribe
or diagnose any condition. I declare that, if advised prior to any session with Stop Hypnosis
to seek medical approval, I have consulted with my GP and or Hospital
Consultant and gained the appropriate medical approval for working with Stop Hypnosis.

3) I have been advised that I am free to terminate any or all sessions at any time. I have
agreed to participate in each session to the best of my ability, and that contact
between sessions will be strictly limited to telephone, email or letter.

4) I have accurately and truthfully answered the questions on this consent form and
provided background information as requested by Stop Hypnosis.

5) I understand that any MP3 download is provided for me at Stop Hypnosis’s
discretion. I agree that any such MP3 download is for my personal use only and
that it should not be lent, copied or sold under any circumstances.

6) Confidentiality is paramount and will be maintained in all but the most exceptional
circumstances. I agree that these can include legal action (criminal or civil court cases
where a court order is made demanding disclosure, including coroners’ courts); child
abuse; if I am in imminent danger to myself or others; and where there is a good
cause to believe that not to disclose would cause danger or serious harm to others.
Most standard of confidentiality applied in professional contexts are based on
common law concept of confidentiality where the duty to keep confidence is
measured against the concept of ‘greater good’. The sharing of anonymous case
histories with supervisors and peer-support groups is not a breach of professional
confidentiality. The sharing of open case histories with supervisors and any referring
NHS medical practitioner is also not a breach.