John McKean RTTP

DISCLAIMER FORM

Liability

I, (The Client) , hereby release John McKean from any liability or claims that could be made against him concerning my mental and/or physical well-being during the work that has been outlined and agreed upon (now and in the future) by filling out this form. This liability waiver is not intended to exclude or restrict liability for death or personal injury caused by

negligence.

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Scope of Practice

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I understand that John McKean is not a licensed physician, psychologist, or medical practitioner of any kind and that hypnotherapy should not be considered a replacement for the advice and/or services of a psychiatrist, psychologist, psychotherapist, or doctor.

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Participation

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I give John McKean full permission to hypnotize me and to use Rapid Transformational Therapy® knowing that by participating fully in the process and by listening to my personalized recording for 21 days, I play an important role in my overall success.

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Guarantee

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I understand that although Rapid Transformational Therapy® has an incredibly high success rate, John McKean cannot and does not guarantee results since my own personal success depends on many factors that John McKean has no control over, including my willingness and desire to effect the changes inside myself. Performance mindset coaching also applies

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Audio Recording(s)

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I give John McKean full permission to make audio recordings that may include my voice. I understand that if a recording (or recordings) is made during or after my session(s) John McKean retains full copyright over any forms of media that may be produced and distributed to me.

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Deepening Process

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I hereby grant permission to John McKean to respectfully lift my arm, touch my shoulder, or rock my head during my Rapid Transformational Therapy® session(s) in order to help facilitate the deepening process.

Confidentiality

By signing this form, I consent that John McKean may release information to a specific individual or agency if it has been determined that a vulnerable person (child or adult) is at risk; if I, as a client, am in imminent danger to myself or others; or if a subpoena of records has been requested.

I also understand that, at any time, John McKean may discuss aspects of my case with other colleagues, keeping my full name and identity completely confidential always unless I have given permission otherwise.

PRIVACY STATEMENT

This is to inform you what data I am collecting from you and what I intend to do with it.

What data do I keep and why do I need it?

Name and age – this is basic information that helps me get to know you.

Address, email address, phone number – I use this as a way of contacting you regarding your sessions. I will mainly use the method you first contacted me on but if I cannot reach you, I will try a different method.

Next of kin/medical professional’s details – If I was worried that you were at risk then I may need to contact your next of kin or medical professional, if I can. I will let you know when/if I am going to do this.

Session notes – I keep brief notes of our session(s), these will be kept locked in cupboard.

Will I share your data and if I do, who will I share it with and for what purpose?

It is very unlikely that I will share your data. I will not sell it on or use it for unethical reasons. I may have to share it if my notes are subpoenaed by court, if you or anyone you tell me about is at harm or risk of harm I may have to pass this information on. I may also discuss your case during supervision but I only use your first name.

How will I store your data?

It is mainly stored as hard copy in a locked cupboard. Immediately after the work is finished, I transfer the data with your initials to my password protected computer. Your phone number(s) may be kept in my business mobile phone with your first name and last initial. Only I will

access your information.

How long will I store your data for and how will I dispose of it?

I will keep your details and session notes for the time required by my insurer BGI.

After this time I will destroy any document with your personal information and delete your phone number out of my mobile phone.

Consent

I consent to my data being used as set out above