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Bulli, NSW, Australia
+61 406 940 780
hello@emmaqueen.com.au

Consent Form

Clinical Hypnotherapy - Psychotherapy - Rapid Transformational Therapy - EMDR - Meditation - Breathwork - Author

Rapid Transformational Therapy (RTT) Consent Form
Hello, my name is Emma Queen and I am an RTT Practitioner. I do not diagnose or treat disease and I am not a physician. These sessions are not a substitute for diagnosis or treatment from a qualified medical practitioner.

What Is RTT?
RTT embraces many of the positive aspects of hypnosis and hypnotherapy that are known to produce a transformative effect on clients: the use of trance, regression and hypnotic conditioning. However, RTT goes beyond, utilising what works with real clients in real sessions to build a new therapeutic approach.
I know that clients are time poor and come to me in pain, both physical and/or emotional. They want rapid results. So the first difference with RTT is it aims to deliver permanent change sometimes in a single 90-minute session. Although some clients and some issues will need up to 3 sessions. Results may vary and are not guaranteed.
The client is involved with me in uncovering the meaning and interpretation of events and then changing them. When regressed to past events you are simply reviewing them, not reliving them, allowing you to understand their meaning in relation to your current problem. This leads to permanent powerful change because RTT enables the mind to tell the body what to do (such as heal itself, turn fear into excitement etc). It can tell the body how to react and how to feel and it can alter and improve the messages the body sends to the mind. This utilises neuroplasticity to create new neural pathways while simultaneously removing old neural pathways leaving the client wired to change and to stay changed.

I will prepare for you an individual audio recording. It is designed to reinforce the positive changes introduced during the session. It is your responsibility to listen to this for a minimum of 30 days.

Confidentiality/Client Rights:
Your experiences during our sessions are confidential unless you instruct me in writing to release information to your nominated health professional. All personal information is kept in a secure location for 3 years after you suspend services after which it will be securely destroyed.

Acknowledgement, Consent, Client Privacy Rights

I have read and understand the above disclosure regarding RTT offered by Emma Queen.
We have discussed the nature of the sessions to be provided. I understand that she is not a licensed physician. It is my responsibility to maintain a relationship with my medical doctor, if I so desire.

I fully consent to use the services offered by Emma Queen, according to the terms as specified in this Agreement, by reading and agreeing to this document.