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Client forms

Please complete the consultation form prior to your appointment or find my feedback form below. Thank you.

einir dwyfor trimble

Client Consultation Form

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Please read the following terms and conditions carefully before signing. By signing below, you acknowledge and agree to these terms.


1. Medical Disclaimer & Contraindications

Hypnotherapy is a complementary therapy and is not a replacement for professional medical diagnosis or treatment. Your safety is paramount.

Absolute Contraindications (Services Cannot Be Provided): I cannot provide hypnotherapy if you have been diagnosed with any of the following:

  • Psychosis or psychotic disorders

  • Schizophrenia

  • Pathological personality disorders

  • Severe cognitive impairment / advanced dementia


Conditional Services (Doctor’s Approval Required): If you suffer from epilepsy, narcolepsy, clinical depression, asthma, or a heart condition, you must provide written approval from your general practitioner (GP) or specialist prior to your first session.


2. Confidentiality & Data Protection (GDPR Compliance)
  • Privacy: All information disclosed during our sessions remains strictly confidential.

  • Supervision: To maintain professional standards, I discuss clinical work with a qualified supervisor. All client details are fully anonymized during supervision.

  • Exceptions to Confidentiality: Confidentiality may be breached only where legally mandated or permitted by law, specifically:

    1. If there is a substantial risk of serious harm to yourself or others.

    2. If required by court order or statutory obligation (e.g., terrorism, money laundering, or child protection disclosures).

    3. Whenever feasible, any necessary disclosure will be discussed with you first.

  • Data Storage: Brief session notes and contact details are stored securely in compliance with UK GDPR / Data Protection regulations. You have the right to request access to or deletion of your personal data in accordance with my Privacy Policy.

  • Public & Social Boundaries: To protect your privacy, if we meet outside of sessions, I will not initiate contact unless you acknowledge me first. Dual relationships (e.g., social friendships or secondary business relationships) are avoided to maintain professional boundaries.


3. Physical Contact

Some hypnotherapy techniques may involve gentle, non-intrusive touch (e.g., tapping or lifting a wrist).

  • Physical contact will only occur with your explicit verbal consent at the time of the intervention.

  • You may opt out of physical touch entirely at any point without impacting your treatment.


4. False Memory Acknowledgment

Therapeutic processes may occasionally bring forward memories or impressions of past events. You acknowledge that hypnosis-induced recall carries a risk of generating false memories, and such recollections should not be viewed as absolute historical fact.


5. Cancellation, Punctuality & Termination Policy
  • Cancellation Notice: A minimum of 48 hours' notice is required to cancel or reschedule an appointment. Cancellations made with less than 48 hours' notice will incur the full session fee.

  • Late Arrival: Sessions will end at the scheduled time regardless of arrival time, and the full fee applies.

  • Substance Use: If you attend a session under the influence of alcohol or non-prescribed mind-altering substances, the session will be immediately terminated, and the full fee charged.

  • Therapist Discretion: I reserve the right to decline service, terminate therapy, or refer you to an appropriate medical specialist if it is deemed in your best therapeutic interest.


Declaration & Explicit Consent

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Einir dwyfor trimble hypnotherapy
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Einir Dwyfor Trimble Hypnotherapy

EINIR DWYFOR TRIMBLE HYPNOTHERAPY

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Hypnotherapy for Athletes |  Stress & Anxiety | Sports Performance Hypnotherapy | Hypnotherapy Workshops | Online Therapy | Hypnotherapy for Mental Health and Physcical Performance

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