I am Dr. Jakub Tencl, MHS (Acc) and was trained in Advanced Hypnotherapy at Hypnosis Motivational Institute (HMI, Nationally Accredited College) and at American Alliance of Hypnotists (AAH). I am also accredited member of The National Hypnotherapy Society, professional organization for practicing hypnotherapists in the UK.
Voluntary Consent to Participate
The Client voluntarily consents to participate in the therapy services provided by Practitioner. Methods used in this program may include: hypnosis, coaching, guided imagery, relaxation training, visualization, Neuro-Linguistic Programming, exercise guidance, nutritional guidance, involvement of mindfulness and cognitive behavioral therapy. All such processes are hereafter referred to as “services.”The Client agrees to be an active participant in the program and shares responsibility for the process and results. The Client understands and agrees that the practitioner’s services will address only the mutually agreed upon and specified concerns. The Client agrees to inform the therapist of changes in his / her circumstances or medical status that may adversely affect his / her ability to participate fully in the program.
The Practitioner agrees to render ethical, competent services to the Client, to the best of his / her abilities and within the limits of his / her professional knowledge and training. However, the Client understands that the Practitioner’s services are not based on exact science and that the results can vary among individuals. The Client understands and agrees that there are NO GUARANTEES as to the results or outcomes. The Client remains ultimately responsible for his / her own decisions, actions, choices, and emotions, during and after participation in the program.
The Client understands and acknowledges that the services to be rendered may consist of a variety of processes and may incorporate questions, visualizations, pretending, writing or drawing, role-playing, breathing instructions, eye-movement instructions, take-home assignments, and physical movement. Procedures will be explained to the Client in advance and will be conducted only with the Client’s consent. The Client has the right to ask questions about any process and to discuss any concerns before, during, or following these processes. The Client has the right to accept or reject instructions, advice, interpretations, or suggestions made by the Practitioner at any time. The Client understands that the noncompliance with program instructions may reduce the probability of success.
Limits of Hypnotherapy/Clinical Hypnosis
The Client understands and acknowledges the following: clinical hypnotherapy, like any other form of psychotherapy or counseling, is not an exact science. Hypnotherapy/ clinical hypnosis are not a panacea or a magical cure for any ailment or problem. A hypnotherapy is that of no unusual powers or abilities and merely attempts to communicate so as to facilitate the client’s ability to thinking a focused manner. The Practitioner makes no claims or guarantees as to the success of clinical hypnotherapy methods, whether the Client will experience trance, or the degree of the trance that the Client will experience. There are a number of methods for conducting clinical hypnotherapy, and some methods may be more effective than others with any particular individual. Hypnotherapy can be relaxing, and some clients may fall into a deep relaxation during the process. The Practitioner will, nevertheless, continue the hypnotherapy session, on the assumption that the Client will continue to hear and respond to suggestions and instructions when the need arises.
The Client acknowledges that he/she may or may not remember everything the Practitioner says during the hypnotherapy process.
Use of Audio Recordings
As a service to the Client, the Practitioner will once in a while make audio recordings of some program sessions, for the Client’s possession and use, to reinforce hypnotic approaches to the Client’s state the outcomes. Since such recordings include instruction for relaxation, the Client agrees not to play the recordings in a moving vehicle or when operating potentially dangerous equipment. The Client also agrees not to play or listen to the recordings when providing direct supervision to a small child or incapacitated adult. The Client agrees that he/she will not reproduce these audio recordings or use them for commercial purposes or financial gain. Audio recordings produced by Dr. Jakub Tencl, MHS (Acc) are for the Client’s personal use. If the Client allows others to listen to audio recordings produced, Dr. Jakub Tencl, MHS (Acc) is in no way responsible for outcomes or results, since Dr. Jakub Tencl, MHS (Acc) has not entered into a service contract with any other user or listeners.
The Client acknowledges that making personal changes in behavior, thinking, and emotions through psychotherapy, counseling, and coaching sometimes requires adequate learning and patience and that he/she may make mistakes or experience some confusion or setbacks in the process. The Client acknowledges and accepts these risks.
Confidentiality and Privacy
The Practitioner will not release any information to any one without a written authorization from the client, except as provided by law.
Stipulations of Program Parameters
The Client understands that the services consist solely of what method is best to use whether mindfulness, CBT or hypnosis is based on given goal whereas chosen approach is based on experiences that is most effective but can be a mix depends on client progress. Therapeutic sessions equal approximately one hour of face-to-face time with the Practitioner. The Client may also receive written material with the program. The fee for the entire program must be paid at the time of the first session and is not refundable. The Client may end participation at any time he/she chooses to do so, for feigning remaining sessions and fees.
Clinical Record Keeping and Inspection
The Practitioner’s written records will only be provided to the client via written request. Photo identification will be required. Records may be faxed, mailed, emailed, or retrieved in person per the client’s request.
All fees are due prior to services rendered. The Practitioner will provide receipts which detail the services offered, but bear no responsibility for the procurement of insurance coverage or payment or reimbursement on behalf of the Client.
Individual session cost £70, however, in case of financial difficulties the price might be £55. I can provide a variety options how your session can be funded.
Number of sessions can be more than what is given from voucher; this depends on a goal you want to achieve. You will be given 7 days notice of any change in fees. You can pay by card, cheque or in cash in advance or after the session but no later. However, the first session has to be paid by cash. If you have had the voucher, then a number of sessions and price given in voucher is set since the beginning of the treatment then thereafter another session is for a price in this paragraph. Payment for services is paid in full on the date of each session.
Cancellation or change of scheduled appointment is possible 24 hours prior the session. The fact that you booked the appointment does not mean it has been confirmed, you should confirm it 24 hours in advance because every appointment must be confirmed 24 hours in advance.
If cancellation or change is made in less than 24 hours prior the appointment, cancellation fee of £20 may apply, and if the payment has been paid in advance, it cannot be refunded. When a booking is made you have only one option of choice for rescheduling to the different day and time if it’s requested in more than 24-hours period in advance. Every rescheduling afterward is taken as a new appointment and thus has to pay a new appointment fee and that is in case that appointment hasn’t been paid in advance otherwise it is taken as a new appointment. If you have a voucher then you lost one session from your voucher. In case that the appointment is on Monday, cancellations or changes must be requested on Friday. Your appointment can be changed due to the circumstances; you will get a notice in no less than 24-hours in advance.