HMCY INFORMED CONSENT & CLIENT ACKNOWLEDGEMENT
This form is designed to help you make an informed decision about receiving Clinical Hypnotherapy, NLP Coaching and/or related personal change support from Healing Mind CY.
Please read the information carefully. Please ask questions about anything unclear before agreeing to proceed.
Consent is an ongoing process. Completing this form does not remove your right to ask questions, decline a particular approach, pause a session or stop working together at any time.
1.Practitioner & Professional Standing
Charalambos “Charles” Eleftheriou, founder of Healing Mind CY, will provide your sessions.
Healing Mind CY is committed to ethical practice, continuing professional development, professional supervision, confidentiality and working within appropriate training and competence.
Professional training, memberships and registrations include:
2. Nature of the Services
Healing Mind CY may provide Clinical Hypnotherapy, NLP Coaching and related evidence-informed personal change approaches.
Your work will be personalised to your goals, circumstances, readiness, and what is appropriate within the practitioner's professional scope.
Any approach used will have a clear and relevant purpose, be personalised to your needs and remain within the practitioner’s professional competence.
3. About Clinical Hypnotherapy
Hypnosis is a state of focused attention in which therapeutic communication, imagery, suggestion and other appropriate approaches may be used to support learning and change.
During hypnosis:
You do not lose control of your mind or behaviour.
Hypnosis does not override your free will.
You remain an active participant.
You may speak, move, ask questions or stop the process.
People experience hypnosis differently, and there is no single required feeling or level of depth.
Hypnotherapy may support change, but specific outcomes cannot be guaranteed.
4. About NLP Coaching
NLP Coaching may involve exploring goals, language, beliefs, thinking patterns, emotional responses, behaviours, resources and practical strategies.
Coaching is generally more future-focused and may support areas such as personal development, confidence, communication, decision-making, performance and achieving meaningful goals.
Clinical Hypnotherapy and NLP Coaching may sometimes be integrated where appropriate and agreed.
Where work moves between a therapeutic and coaching focus, this should be discussed openly rather than allowing one professional role to become another without agreement.
5 Scope of Practice
Healing Mind CY works within the practitioner's current training, competence, professional responsibilities and insurance.
Clinical Hypnotherapy and NLP Coaching are not substitutes for medical diagnosis, psychiatric assessment, prescribed treatment or emergency care.
Healing Mind CY does not:
diagnose medical or psychiatric conditions;
prescribe medication;
advise you to stop or alter prescribed medication;
provide emergency or crisis services; or
guarantee that a particular intervention will produce a specific result.
Where your needs fall outside the practitioner's competence or another professional service may be more appropriate, this will be discussed, and referral or additional support may be recommended.
6. Your Health & Responsibility to Inform HMCY
I understand that I should inform Healing Mind CY about relevant:
medical conditions;
mental-health treatment;
prescribed medication;
significant changes in my health or mental state;
substance use where relevant;
pregnancy where relevant to the proposed work;
current treatment from another practitioner; and
any other information that may affect the suitability or safety of the work.
I agree to update the practitioner if any relevant circumstances change during our work together.
7. Confidentiality
Information shared during sessions will normally be treated as private and confidential.
Confidentiality may have limited exceptions, including where:
you give permission for information to be shared;
appropriately anonymised information is discussed within professional supervision;
disclosure is required by law; or
there is a serious and immediate concern regarding harm to you or another person.
Where reasonably possible and appropriate, we will discuss these situations with you.
8. Professional Supervision
I understand that the practitioner may discuss aspects of client work within professional supervision for the purposes of ethical practice, professional development and client care.
Where this occurs, identifying information will be minimised or anonymised wherever appropriate.
9. Records & Personal Information
Healing Mind CY may maintain appropriate records relating to appointments, consent, relevant communications and professional session notes.
Healing Mind CY will handle information in accordance with applicable privacy and data-protection requirements and its Privacy Policy.
Information will not be used for testimonials, marketing, case studies, recordings or other secondary purposes without separate permission where required.
10. Online Sessions
For online sessions, I understand that I am responsible for choosing a reasonably private and appropriate environment and for using a suitable internet connection and device.
I may be asked to confirm my location at the beginning of an online session where this is relevant to safety or professional practice.
If a connection is interrupted, the practitioner and I will use the agreed method of reconnecting or contacting one another.
11. Memory and Regression Work
Where imagery, age regression or memory-focused approaches are used, I understand that human memory is reconstructive and may be incomplete or influenced by later information.
Experiences arising during hypnosis, imagery or regression should not automatically be regarded as verified historical fact.
The purpose of this work is therapeutic exploration and present-day meaning rather than proving that a particular remembered event occurred.
12. Possible Experiences & Limitations
Therapeutic or coaching work may sometimes involve discussing or experiencing uncomfortable thoughts, emotions, memories or physical sensations.
You remain free to slow down, pause, change direction or stop an intervention.
No therapy or coaching approach works identically for every person, and Healing Mind CY cannot guarantee a particular outcome, timeframe or level of change.
13. Fees, Cancellation & Appointments
Appointment fees, payment arrangements and the applicable cancellation or rescheduling terms will be communicated before paid services begin. I understand that these arrangements form part of the terms under which services are provided.
View the Terms of Use:
Service or programme being considered
Clinical Hypnotherapy
NLP Coaching
Executive Reset
Coaching Excellence
Not yet confirmed
14. Emergency & Crisis Situations
Healing Mind CY is not an emergency or crisis service.
If I am in immediate danger, experiencing a medical emergency or require urgent mental-health support, I understand that I should contact the appropriate local emergency service, doctor, crisis service or other qualified professional.
ACKNOWLEDGEMENTS
