Parking is available at The Den, 7 Riverside Court, Hebble Brook, Halifax HX3 9LP. Please park off the street using the driveway provided.
I understand the scope of the guidance, support and therapies Dr. Zoë Douglas-Judson provides and give my full consent to receiving her support and guidance.
I understand my sessions may include Hypnotherapy, Reiki and EMDR by Dr. Zoë Douglas-Judson.
I understand that outcomes and results may vary from person to person and I take full responsibility for my decisions, actions and commitment to my personal development and journey.
I consent for Dr. Zoë Douglas-Judson to work with me on the issues or problems presented by me, using whatever model or models are appropriate to my situation, which in no way implies or guarantees a ‘cure’ of any stated issues or problems.
I declare that if I suffer from a serious / chronic medical condition I have consulted with my General Practitioner and/or Hospital Consultant / Health Care Team and will/have gained the appropriate medical approval to be able to work with Dr. Zoë Douglas-Judson.
Confidentiality is paramount and will be maintained by Dr. Zoë Douglas-Judson in all but the most exceptional circumstances. I agree that these include: legal action (criminal or civil court cases where a court order is made demanding disclosure, including coroners’ courts), child abuse, if I am in imminent danger to myself or others; and where there is good cause to believe that not to disclose would cause danger of serious harm to others.
Dr. Zoë Douglas-Judson aims at all times to follow the national code of ethics for hypnotherapists.
By sumbitting to this form you confirm you have understood fully, and disclosed completely all required information and thereby giving the necessary consent to work Dr. Zoë Douglas-Judson.