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CONSENT FORM

Client Agreement – Code of Care

  • The client will be treated with respect at all times. 
  • Disclosure of all information during the Initial Consultation and subsequent sessions will remain confidential. 
  • The hypnotherapist has a professional obligation to report to relevant authorities any concerns they believe where the client may intend to harm themselves, the therapist or others. 
  • If the client is receiving medical treatment then a diagnosis must be sought when possible, and health professionals may be informed of hypnotherapy treatment. 
  • A copy of the Association for Solution Focused Hypnotherapy Code of practice is readily available.
  • This complies with that of the CNCH, a Department of Health supported Register of which Anuradha Dutta is a member. 

Consent for Treatment

  • The therapist has fully explained the procedures and treatment. 
  • I understand that listening to the track every night is an important and essential aspect to the treatment. 
  • I understand the success of the treatment, in part, is determined by the desire to achieve the changes and the commitment to the format of the sessions. 
  • A respectful relationship will be maintained between the client and the therapist.

Cancellation Policy

  • I operate a busy practice with a waiting list. Please be considerate when canceling an appointment, and where possible give at least 48 hours notice. 
  • The appointment fee will be charged in full, if there is less than 48 hours cancellation notice given.
I have read the above agreement and accept the treatment on those terms:
I am happy for you to contact my GP.
Name
Email
Phone
Date
Full Adress
I have confirmed that I have read the GDPR Terms and Conditions section and I am aware of how my data will be processed and stored:

Who are we?

Redefine Hypnotherapy is a Clinical Psychotherapy and Hypnotherapy Practice. I respect your privacy and I am committed to protecting any personal information that you provide me. This Privacy policy explains how and why Redefine Hypnotherapy collects any personal information. This may be via the contact page form, during the sessions you attend, by text and email. The privacy policy also explains other information I collect, for example when you use the website. It explains how I use this information, who I share it with, your rights regarding personal information that I hold, as well as detailing other issues.

GDPR & Policies

I collect information when you complete the contact page or when you email me directly. I collect it during the hypnotherapy sessions

For the purpose of giving you the highest quality support, I collect information about

  • What you want to achieve during the hypnotherapy sessions
  • A limited amount of relevant medical information 
  • Some family details 
  • Brief session notes. 

This information allows me to refer back to the content and discussions of previous sessions. Your contact details /address and GP details will only be used with your explicit consent. 

I use information from the website to identify visitor information behaviour and trends. An example would be the number of times the site has been visited and what pages have been accessed. When you visit the website, you will be asked to accept or decline our cookies.

Paper session notes- Stored in a locked filling cabinet.
Text messages-Finger print recognition and password protected.
Emails- Stored on the computer that is password protected.
Electronic documents – Any electronic documents e.g. A letter to your GP, or an invoice, are password protected and stored on a password protected computer if they contain personal or sensitive information.


As a member of the CNCH I am bound by their regulations on holding your information. The CNCH requires me to hold your information for 8 years after your final session. An exception is for children whom I must hold data until their 25th birthday (unless they are age 17 when treatment finishes, and I must keep it until their 26th birthday). All records will be deleted in January after the above retention scale. This is in line with data holding regulations set by the NHS.

GDPR allows the request of all your records to be deleted. To make a request write to: Anuradha Dutta


Redefine Hypnotherapy, 6 Duchess Place CH2 2JL Should you request this then all your paper records will be shredded with a cross shredding machine. Any electronic data such as emails, text messages and contact forms will be permanently deleted from the device they are stored on. Please note that I must save the deletion request you made. It is possible that the legal team of my insurance company may want me to verify the information sent out.

You are now able to ask to see any data that is held about you within 30 days of asking. You can ask for a copy of any personal information held by me if you decide. It is possible however, that the legal team of my insurance company may want to verify information that I send out.
Everything we discuss during the sessions remains strictly confidential between us both. On occasion I may choose to discuss elements of the sessions with my supervisor to ensure I am doing my job effectively. During these discussions I will not disclose any identifying details about you to my supervisor. My supervisor adheres to GDPR.
I am obliged by GDPR to protect your confidentiality. For this reason, although I will acknowledge you, it would be appropriate to avoid conversation. However, if you wish to discuss your therapy with other people, you are welcome to do so.
I am only able to contact other HSCPs with your written consent. In the event, that I write to your GP, to notify them that you are receiving treatment and then when the treatment ends, I would require your signature in line with GDPR regulations. The only exception would be if I believed that you were about to harm yourself or others. In this case I would be required to inform the relevant authorities as part of my ‘Duty of Care’. However, I would make every effort to discuss this with you before taking any action. Legally. I would also have to provide information to the police as set out in a warrant or court order, should the situation arise.

Cookies

Cookies are text files placed on your computer to collect standard internet log information and visitor behaviour information. This information is used to track visitor use of the website and to compile statistical reports on website activity. 

For further information visit www.allaboutcookies.org  You can set your browser not to accept cookies or block cookies and the above website will tell you how to remove cookies from your browser. However, in a few cases some of our website features may not function as a result.

Marketing

Redefine Hypnotherapy does not hold or keep records/databases of your personal information as a means of targeting customers with leaflets or using e-mail marketing. 

If you need to contact me for any reasons concerning your personal Information, please email info@redefinehypnotherapy.com or write to Anuradha Dutta, Redefine Hypnotherapy,  6 Duchess Place Chester CH2 2JL

Other issues

This policy may be updated when important changes are required. Please check for updates. This policy was reviewed on 2nd October 2024 Data Controller is Anuradha Dutta, Redefine Hypnotherapy, 6 Duchess Place Chester CH2 2JL

Safeguarding children and vulnerable adult’s policy

I am very happy to work with children from 8 years old and upwards within protective conditions. Children are not eligible to use my web site and I ask that minors (under the age of 16) do not submit any personal information to me. If you are a minor, you can use this site only in conjunction with permission and guidance from your parents or guardians. The initial consultation will require the presence of the parent or guardian. Subsequent sessions will require the parent or guardian to remain on the premises. I have an up to date enhanced DBS certificate.

Complaints Policy

If a complaint occurs, then I will attempt to resolve the situation by asking for contact with the person. Although I do realise that in some circumstances you might prefer to contact the CNHC directly. 

You must complain in writing using the complaint form on the CNHCs website, www.chnc.org.uk. If this is a cause of difficulty, then you can ask someone to fill it in for you. Alternatively, you can contact the CNHC by phoning 020 3668 0406 and they will do their best to arrange for someone to help you.

How to contact us

Please contact me if you have any questions about the privacy policy or information I hold about you. Please email Anuradha Dutta at info@redefinehypnotherapy.com or write to Anuradha Dutta, Redefine Hypnotherapy, 6 Duchess Place CH2 2JL. 

ICO Registration number:  CNHC09088