Milford Hypnotherapy
  • Home
  • Anxiety / Depression
  • Fears and Phobias
  • Pain
  • Contact
  • Testimonials
  • Smoking cessation
  • P.T.S.D
  • Freedom from addiction
  • GDPR and Client Commitment

    Milford Hypnotherapy
    ​Client Intake Form


    Part 2 of 4


    Part 3 of 4



    Part 4 of 4

    Confidentiality

    I adhere to the ethical code of the General Hypnotherapy Standards Council and the GDPR and will maintain your personal data in the strictest confidentiality. 
    I will not disclose your personal information to any third party unless required to do so by law.
    The information you provide during the course of your treatment will be held in strict confidentiality as required by GHR and GDPR. 
    Client signature (When you visit sign paper version)
    Date    
    Client Signiture 



Submit

QUALIFICATIONS

Diploma in Clinical Hypnotherapy and EFT, Nov 2016    www.innervisions-directory.co.uk/index.htm
Licensed Sanomentolgist and Rapid Pain Eliminator, Jan 2019.   sanomentology.com/map/
​Sanomentology is  accredited with the IPHM ( International Practitioners of Holistic Medicine )  

Registered with the GHR (General Hypnotherapy Register) 

  • Home
  • Anxiety / Depression
  • Fears and Phobias
  • Pain
  • Contact
  • Testimonials
  • Smoking cessation
  • P.T.S.D
  • Freedom from addiction
  • GDPR and Client Commitment