Forgiveness Process Agreement

Name:
Tel:
Mobile:
Email address:
Address:
Occupation:
DOB:
Marital Status:
Spouse Name:
Children's Names and DOB:
Spiritual affiliation, if any:

Fees: £150 for three hours

Changes: Re-scheduling or cancellation should be done hours before the planned appointment or the full fee will be charged.

Problems: If you say or do anything in a session that you don't feel comfortable with, or if you have any concern with the way we are working, please let me know as soon as possible. For our work to be effective, you have to be honest with me.

Confidentiality: I abide by the Code of Professional Ethics and Conduct of:
The British Association for Counselling and Psychotherapy (BACP)
The Professional Board of Hypnotherapy (PBH).

Anything that you share in the workshop is confidential. I undertake not to use or disclose any information you shared with me during the sessions, with the exception of:
- supervision, though your identity will not be revealed;
- cases where I am required by law to report certain criminal activities, viz. terrorism.

Nature of the Forgiveness Process: results are not guaranteed and you take full responsibility for creating your own results.

You have read and agreed with the above.

Client:

Date:

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