In order to support you in deriving maximum benefits from our scheduled time together, I agree to:

Use the best of my abilities and expertise to facilitate such changes as are mutually agreed to be in your best interest and are in no way harmful to you.

Work diligently to ensure as best I can that all suggestions given are positive in direction, beneficial in nature and present within a context of health and well being.

Offer you my undivided attention and professional assistance during our scheduled consultations.

Inform you immediately if, in my judgement, you would be served better by another professional or an alternative/complimentary means of reaching your goals.

I am professionally committed to assisting you, in the shortest possible time and at the lowest possible cost, in mobilising your resources to achieve maximum results.

As a registered data protection officer: Please note our sessions may be audio recorded. These recordings are for my own use in devising treatment programs. Recordings are securely stored and are strictly confidential. They will never be shared or made available to any 3rd party.

In requesting professional consultation and assistance, I understand that to be successful I must be entirely willing to:

Recognise that my health and well being depend directly on how well I care for myself emotionally, physically and intellectually.

Acknowledge that my feelings, thoughts and desires, conscious and unconscious, ultimately determine the course of every action and relationship in my life.

Accept responsibility for myself, my choices and actions, and that I, knowingly or unknowingly, create them.

Agree to participate wholeheartedly in the the therapy session. I know my heartfelt commitment is an important first step in my work here, and my signature below underscores that commitment.

I have been advised of the scope of hypnosis/hypnotherapy and I give my full consent to receiving these sessions from Tracy Pagiatis. I understand that results vary and that the practitioner may not guarantee results.

Hypnosis/hypnotherapy is not a replacement for medical treatment, psychological or psychiatric services or counselling. I also understand that Tracy does not treat, prescribe for or diagnose any condition.

I am aware and understand that in some cases it may be necessary for the practitioner to respectfully touch my shoulder(s), hand, wrist or forehead in order to assist me in relaxation. I give the practitioner permission and consent to do so in order to help me establish a beneficial state of hypnosis.

I understand 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.

I have accurately provided background information as requested.

I understand that confidentiality regarding my sessions will be honoured between my therapist and myself, the only exception being if the therapist is given to believe there is an intention of immediate harm to self or others. This same confidentiality is respected when working with children under the age of eighteen.