Hypnotherapy Client Intake Form and Contract

Terms and Conditions

  • The information, techniques, methods and recommendations by Sheneez Amara are not intended to substitute for the diagnosis and care by a qualified physician such as your GP, nor to encourage the treatment of illness by persons not recognisably qualified. If you use hypnosis and are under medical care for ANY condition, do not make any adjustments to ANY prescribed medication without the approval of your doctor. If in any doubt you should seek your GPs advice.

  • Caution: Any one diagnosed with Epilepsy and Schizophrenia is advised not to enter hypnosis, or anyone diagnosed as having any psychotic illness.

  • Disclaimer (Guarantee and Refund Policy):

    Results may vary from person to person. No warranty and(or) guarantee is given, expressed, or implied for satisfactory results from the hypnotherapy session, as it is impossible to guarantee human behaviours or compliance. Therefore, no refunds for services are given. The client understands that result are his or her responsibility. The Certified Professional Coach is considered a guide or facilitator in the process.   

Sessions & Fees

  • Each standard coaching with hypnotherapy session lasts 60 minutes.

  • The initial assessment session may last up to 90 minutes.

  • Fees are listed at www.sheneezmara.com/services and must be paid in full prior to the first session.

  • Payment can be made via my website or by means of bank transfer if preferred.

  • Discounts may apply if sessions are booked as a package.

Cancellations

  • A minimum of 24 hours’ notice is required to cancel or reschedule a session.

  • If less than 24 hours’ notice is given, the full session fee will be charged.

  • Notice may be given by phone, text, or email (please specify your preferred method).

Confidentiality

  • All information shared in sessions is confidential and will not be disclosed without your consent, except where required by law.

  • Disclosure may be required if:

    • You indicate an intention to harm yourself or others.

    • You disclose involvement in certain criminal activities that must by law be reported, such as drug trafficking, money laundering, acts of terrorism, or offences involving the protection of children and vulnerable adults.

  • In such cases, I will take appropriate steps in compliance with my legal and professional obligations.

General

  • Coaching with hypnotherapy is not therapy, medical treatment, or financial advice. It is a collaborative and guided process designed to support your personal and professional growth.

  • You are responsible for your own choices, decisions, and actions arising from coaching/hypnotherapy.

  • Either party may terminate this agreement with written notice.

Lateness

  • If you arrive more than 15 minutes late for your session, your appointment will be cancelled, and you will be charged the full fee. Hypnotherapy sessions are structured, and a delay of 15 minutes or more, does not allow enough time to complete a session. However, you will be able to reschedule your session following after paying a late cancellation fee of the price of one full session.

Acknowledgement & Consent

By filling in and submitting the below form, you provide an electronic signature confirming that you have read, understood, and agree to the terms of this Client Contract.