Let's begin the work

I understand that the therapeutic process may draw upon Strategic Psychotherapy, Clinical Hypnosis, Somatic Awareness Practices and Contemplative Practices. The approach used may vary according to my individual needs, circumstances, goals and responses throughout the process.

I understand that my participation is voluntary. I am encouraged to ask questions about the process at any time and may choose not to participate in a particular practice or intervention.

I confirm that the information I have provided in this intake form is accurate and complete to the best of my knowledge. I understand that relevant information about my physical health, psychological wellbeing, medications, circumstances and history may assist in determining an appropriate therapeutic approach.

I understand that therapeutic work is a collaborative process. The practitioner may provide therapeutic interventions, perspectives, practices and between-session activities; however, my participation, choices, engagement and application of the work are an important part of the process.

I understand that individual responses to therapeutic interventions vary and that no particular therapeutic, personal, emotional, behavioural, professional, relationship or financial outcome can be guaranteed.

I understand that these services are not a substitute for medical diagnosis, medical treatment, psychiatric care or emergency mental-health services where these are required. I agree to seek appropriate medical, psychological, psychiatric or emergency assistance when necessary and to inform the practitioner of relevant changes that may affect my participation.

I understand that participation in Clinical Hypnosis does not involve surrendering control. I remain capable of communicating, responding and choosing whether to participate throughout the process.

I understand that some practices may involve bringing awareness to bodily sensations, emotions, thoughts, breathing, attention or internal experiences. I understand that I may communicate discomfort or request that a practice be modified or discontinued.

I understand that information shared during the therapeutic process will be treated confidentially and handled with appropriate care, subject to applicable legal, professional and safety-related obligations. There may be circumstances where information can or must be disclosed as permitted or required by law, including circumstances involving serious threats to health or safety.

I consent to the collection and use of personal and health information reasonably necessary to assess my needs, provide services, maintain appropriate records and administer my engagement with Transform Your Reality.

I understand that my information will be handled in accordance with applicable privacy requirements and the Transform Your Reality Privacy Policy.

I understand that therapeutic work may invite me to explore thoughts, emotions, behaviours, beliefs, patterns and experiences that may at times feel challenging or uncomfortable. I retain responsibility for communicating my needs, making my own decisions and determining how I apply insights or practices arising from the therapeutic process.

I acknowledge that I am responsible for understanding the fees, payment arrangements, cancellation/rescheduling requirements and other conditions associated with the services I choose to undertake, as communicated to me before engagement.

Nothing in these terms is intended to exclude, restrict or modify any rights or remedies that cannot lawfully be excluded under the Australian Consumer Law or other applicable legislation.

By signing or submitting this form, I confirm that:

• I have read and understood the information above.
• I have had the opportunity to ask questions where clarification is required.
• I understand the nature and general scope of the services being offered.
• I understand that outcomes cannot be guaranteed.
• I consent to the collection and appropriate use of the information I provide for the purposes of assessing and supporting my therapeutic engagement.
• I voluntarily consent to participate in the therapeutic process.