Consent to Sessions - Hannah Rosemary

Please read through my Professional Boundaries Statement, and then fill out the form below to give preferences for date and time, and confirm your agreement and consent to treatment.

Your Full Name(required)

Your Email Address(required)

Your Timezone(required)

When do you have most availability to meet in your local time? I offer sessions daytimes Tues-Thurs, London time.(required)

Please check to confirm understanding that late cancellations (within 24hrs of session) will still be charged in full.(required)

Please check to confirm understanding that arriving drunk, on drugs, or engaging in abusive or sexual behaviour will result in the session being cancelled and no refund given.(required)

Please check to confirm agreement that if, for any reason throughout our sessions, I feel I am no longer the best person to support you, I will refer you to a different practitioner and refund in full any unused sessions.(required)

Please check to confirm you have read and agree to the professional boundaries statement, linked above.(required)

Please check to give consent to treatment and take full responsibility for any consequences, including but not limited to medical and psychological reactions, that may arise from treatment.(required)