CLIENT CONTRACT

LEVEL 5 IAPC&M CERTIFIED COACH INCORPORATING HYPNOTHERAPY & COUNSELLING

My Responsibilities

1• Competency: I will provide services based on adequate training, skills, and experience. While I may assist you with conditions I have not treated before, I will always apply due diligence and professionalism.

2• Non-Discrimination: I will act in a non-biased and non-prejudicial manner towards all clients, ensuring that every individual receives the same quality of service and treatment, regardless of differences such as race, gender, sexual orientation, or disability.

3• Transparency: I will disclose relevant details regarding my professional memberships, training, and qualifications to you upon request. I will only utilize qualifications and memberships for which I possess proof of entitlement.

4• Fee Structure and Confidentiality: I will explain all fee levels, payment terms, and any potential charges relating to non-attendance or canceled appointments before treatment begins. Confidentiality is a priority, and I will discuss any relevant confidentiality issues with you.

5• Service Presentation: I will present all services and products clearly, including any limitations and realistic outcomes from treatment. You will maintain complete control over your decisions regarding the purchase of services or products. Please note that I cannot provide guarantees of a cure or a successful resolution of the problems presented. Additionally, this therapy is not intended to replace any current medical treatment or medication you may be receiving.

Your Responsibilities

As the Client, you have specific responsibilities during our work together:

1• Attendance: You must attend your sessions as scheduled. Consistency in your sessions is essential for effective progress. If unforeseen circumstances arise, I will work with you to find a solution.

2• Engagement: It is important to take our work seriously by completing any assigned "homework" and dedicating time between sessions to contemplate and explore the areas we are addressing together.

3• Openness: You are encouraged to be as open and honest as possible throughout our sessions. Building trust is critical for effective therapy, and I will honor the trust you place in me.

4• Substance Use: You are expected to arrive free from the influence of alcohol or drugs, unless explicitly approved by me as the therapist.

Terms of the Contract

1• Session Length: Each therapy session will last 60 minutes.

2• Late Arrival: If you are late for your appointment, the session cannot be extended

3• Initial Session: The first session may last up to 90 minutes to clarify your reasons for seeking therapy and gather personal history.

4• Cancellation Policy: If you cannot attend an appointment, please notify me at least 24 hours in advance.

5• Missed Appointments: The full fee will be charged for missed appointments without prior notification and for sessions canceled with less than 24 hours' notice.

6• Confidentiality: This service is confidential. Brief notes will be taken during therapy, stored separately from personal details in a secure location. If we encounter each other in a public setting, such as a restaurant or shopping center, I will not approach you to maintain your confidentiality. However, if you wish to speak to me, I will be happy to engage with you.

7• Supervision: I undergo regular supervision on a monthly basis to continually enhance the quality of service provided.

8• Confidentiality Agreement: I agree to maintain the confidentiality of all information shared during coaching sessions, except as required by law or with your written consent.

Signatures

By signing below, you agree to the terms outlined in this contract.

Therapist Name:

Marjan Aminy

Monday - Friday: 9 am – 9 pm
Saturday: 11 am – 8 pm
Sunday: 11 am – 5 pm

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