Consultation Form
Please complete the formĀ below to the best of your ability.Ā
See privacy notice and information at the bottom of the page
The boring, but important, bit...
Privacy notice and information:
Thank you for trusting me with your personal information. Any information given, is strictly confidential, unless needed to be shared with concern for your welfare, or the welfare of others. Any information shared will be shared in confidence. Clare Cockell follows the guidelines of the Data Protection Act, and The National Hypnotherapy Society. This means that it is ensured client notes and records are kept secure and confidential, and confidentiality is adhered to in the most professional manor.
Clare Cockell works to the professional standards outlined in The National Hypnotherapy Societyā€™s Code of Ethics and Conduct and not to give clause for complaint. Clients who do have a cause for complaint have access to the complaints and disciplinary procedures of The National Hypnotherapy Society, 19 Grafton Road, Worthing, West Sussex, BN11 1QT or telephone: 01903 236857, email address is [email protected], and quote name of therapist and member no: HYP19-05918.Ā
The information given in the form above is to the best of yourĀ knowledge. You confirm that you areĀ over 18 years old.
Once you have read and agreed to the above, please select the relevant option in the form for 'privacy notice'.
