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Intake Form

Please complete this form to help us create the best sessions for you. All your information is confidential and will not be shared with other parties.

Would you like sessions
in a language other than English, if yes which language?
Enter language?
Any trigger warnings we should be aware of? (for example
fears, phobias, traumatic events)
Have you had hypnosis, hypnotherapy or regression therapy
before, either 1 on 1 or in a group?
X
How did you hear about us?

Waiver:
I understand that Presence sessions are not medical, psychiatric or psychological treatments and do not any way replace any such treatments. I also understand that many sessions offered by Presence include hypnosis. It is my responsibility to check with my medical practitioners that any medication I am taking, or treatment I am undergoing, or illness or condition that I have now or have had in the past, do not in any way preclude me from taking part in sessions offered by Presence. I also accept that the benefits of sessions cannot be guaranteed and will vary from one person to another. I understand that the use of drugs or alcohol can lead to adverse effects when combined with hypnosis, visualisations, meditations and other self-care exercises and undertake not to take part in sessions under the influence of any such substances. Finally, I agree to abide by the code of conduct of Presence.

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