I confirm that I consent to participate in therapy sessions provided by the therapist. I agree to be
an active participant and share responsibility for the progress and results of the sessions.
Hypnotherapy sessions are around 1 hour and counselling sessions are 50 minutes. If for any reason I
am late for a session, the therapist will see me for the duration of the remainder but will be unable to work beyond the allotted time.
I agree to inform the therapist of any changes in my circumstances or medical status that may affect my ability to participate fully in sessions.
I understand that there are no guarantees as to the results or outcomes of the sessions as everyone is different and I am ultimately responsible for my own decisions, actions, choices and emotions during and after participating in sessions.
The sessions are confidential and I understand that confidentiality would only be breached if the therapist believed it necessary, for example if there was serious risk of harm to myself or someone else, if there was a legal obligation or if I give my consent.
Walk & Talk Therapy
Please confirm that you accept the following:
You are physically able to walk for 50 minutes over uneven terrain and gradients.
Because we shall be outside, this type of therapy is less secure in terms of confidentiality.
You should wear suitable clothing and footwear.
The therapist is not liable for any trips, falls or injuries sustained.
There are no toilet facilities en route.
If the weather is bad, or if you or the Therapist, prefers, the session may take place inside.
Information of the sessions may be shared, on an anonymous basis, with the therapist’s Clinical
BACP membership number: 896758 and abides by their ethical standards
Karen Boxall (under LibraG) is registered with the Information Commissioner's Office. Reference:
ZA234430 and adheres to the relevant Data Protection regulations.
I consent to the therapist contacting me for anything she considers relevant.
Fees: Per session: £100
Initial Assessment: £150 (1 ½ hours, when necessary)
Payment is due when booking the appointment and at each preceding appointment
Cancellation policy: Full fee applies