First Name * Last Name * Have you been Hypnotised before? *YesNo Briefly explain your experience Do you have any health problems past & current / or any medications being taken Have you ever suffered from any of the following ? If YES, click on the below EpilepsySchizophreniaBi-PolarPsychosis Do any of these conditions apply to you?ArthritisBack PainBreathing ChallengesDepressionDiabetesEye ChallengesHeart ChallengesHigh / Low Blood ChallengesKnee ChallengesNeck ChallengesPregnancyRecent Fractures / SprainsRecent OperationsOther Please provide details for any of the questions answered 'Yes' above From the list below, Select any areas of concernAddictionsDrinkingSmokingDrugsGamblingCompulsive BehaviourEating ProblemsFood / DietWeight ProblemsAnorexiaBulimiaExerciseDepressionConfidenceSelf EsteemMotivationAchieving GoalsProcrastinationRelationshipsChildhood ProblemsSleep ProblemsCareer IssuesInterview SkillsNervesPublic SpeakingConcentrationExamsMemoryDriving SkillsPain ControlHearingSight / VisionMobilitySkin ProblemsHair GrowthAnxietyStressFearsPhobiasPanic AttacksGuiltRelaxationSexual ProblemsFertilityIVFConceptionPregnancyBirth Personal Details Date of birth * 01/01/1950 Mobile Phone Number * Email Address * Address Emergency contact name Emergency contact telephone number Health Doctors Name & Address Consent * I have, following consultation, consideration and discussion, agreed to undergo this therapy. I am fully aware that the services I wish to receive are those of a holistic nature and do not serve as a substitute for professional medical advice, examination, diagnosis or treatment. I have had the procedure explained to me and understand the nature of the treatment. I fully understand this treatment is not a substitute for medical treatment and it may take several sessions before I notice any benefit. This will depend on my lifestyle, ongoing medication and general health. I understand that if I have been untruthful with my details or have failed to give enough relevant information the outcome of any therapy / treatment / class could be adversely affected and my health and well-being may be put at risk. I understand the therapist / practitioner does not claim to cure or to diagnose any medical condition in the same way as a doctor / physician. Their opinion is that of a holistic, complementary and alternative therapist and their professional opinions, advice, examinations and recommendations do NOT constitute the medical advice of a doctor / physician. I confirm that I have given my personal details for the therapist / practitioner’s use in connection with the therapy and consent to the storage of these details for at least ten years. Please Note: We are unable to provide any therapy without your consent. I confirm that you may retain this information so that you can contact me again in the future. Date * Terms and Conditions Please read these terms and conditions which apply to the provision of my professional services. By making an appointment, you are agreeing to the following terms and conditions. If you are unable or unwilling to agree to these terms and conditions, then you should not book an appointment or continue with your course of therapy. ABOUT THE SESSION(S) Generally, only one session is required per issue. However, for more deeply rooted, sensitive, or complex concerns, further sessions may be recommended. This will always be discussed openly and collaboratively. Hypnosis is a natural, safe, and deeply relaxing state. You remain conscious and in complete control throughout. In this receptive state, the subconscious mind is more open to suggestion and change. Sessions may include gentle regression to childhood or earlier memories in order to uncover the root of current patterns. From there, the client and Waqar Bhatti work together to understand and release what no longer serves, creating new narratives and possibilities. PERSONALISED TRANSFORMATION RECORDING Where provided, you’ll receive a bespoke audio recording created specifically for you. It is essential that this recording is listened to daily for a minimum of 21 consecutive days. Repetition is how the brain builds new neural pathways—daily listening gives the mind the consistency it needs to embrace change. Some clients choose to continue beyond 21 days, and current research supports a 60–90 day commitment for the most lasting results. The most effective times to listen are just before sleep and first thing in the morning. Please never listen to your recording while driving or using heavy machinery. HOW CHANGE CAN SHOW UP Everyone processes change differently. You may experience one or more of the following: Immediate – noticeable shifts happen straight away Subtle – change unfolds gently and gradually Retroactive – you look back one day and realise how much has shifted There is no “right” way—only your way. Trust the process, and give your mind the time it needs. IMPORTANT HEALTH & SAFETY CONSIDERATIONS While hypnotherapy is a powerful and transformative approach, it is not suitable for everyone. Your safety and wellbeing are paramount. Please read the following carefully: Hypnosis is not advised for individuals with a diagnosed psychotic illness, including but not limited to schizophrenia, bipolar disorder (in active phases), or any condition involving psychosis or a break from reality. Hypnosis is generally not suitable for individuals with epilepsy. If you have epilepsy or have experienced seizures in the past, you must obtain written consent from your GP before participating in hypnotherapy sessions. If you are under psychiatric care or prescribed medication for mental health, you must inform Waqar Bhatti before your session. Hypnotherapy should only be undertaken with the awareness and support of your medical provider in such cases. If you are in any doubt about whether hypnotherapy is appropriate for you, please consult your GP prior to booking. This work is most powerful when integrated with a holistic care plan and your overall wellbeing in mind. CLIENT AGREEMENT By booking a session, you are confirming that: You are not suffering from a diagnosed psychiatric condition, psychological illness, or epilepsy, and are not under the supervision of a psychiatrist (unless by prior agreement and consent from your doctor). You will attend sessions free from the influence of alcohol, drugs, or excessive caffeine, and will inform Waqar Bhatti of any prescribed medications you are currently taking. You understand that Waqar Bhatti may end the session without notice if it becomes clear it was booked for purposes other than receiving therapy. If this occurs, any pre-paid session fee is non-refundable. ONLINE HYPNOSIS SESSIONS For remote sessions, you agree to: Be in a safe, private, and undisturbed environment, and inform Waqar if anyone else is present or listening in. Provide accurate address and contact details, plus a backup number and emergency contact. Ensure your device is fully charged and notifications are silenced. Not record the session without prior permission. Use Microsoft Teams (preferred for privacy and reliability) and test it in advance. If the connection drops while in hypnosis, you are completely safe. Simply open your eyes and reconnect. The session will resume from where we left off. During your transformation recording, your microphone may be muted to minimise background noise. BOOKING & PAYMENT All sessions must be paid for in full at least 48 hours before the scheduled session start time. It is your responsibility to pay the session fees before each scheduled session in order to confirm the appointment booking. CANCELLATION, RESCHEDULING & REFUNDS Cancellation & rescheduling If you need to cancel or re-schedule a session, please provide as much notice as possible. Notification must be made via email or phone call at least 48 hours prior to a session. Refunds No refunds will be issued for cancellations within 48 hours of the session. Session fees are for my time and professional expertise and are not a guarantee of a successful outcome. The outcome also depends on many external to me factors, for instance, your input. Therefore, no refunds will be given for any sessions where you have attended and paid for the session. Where a discount package or therapy program has been booked and paid for in advance, if you choose to discontinue your therapy process before attending all the sessions, a pro rata refund will be issued after deduction of the full standard session fee for any sessions you have attended. RTT SESSION FEES All professional fees will be disclosed to you prior to booking. My professional fees are subject to review and may increase from time to time. You will always receive confirmation of the professional fees before booking. PAYMENT METHODS The preferred payment method is via Bank Transfer or PAYPAL™. Payment may also be made online via credit/debit card. AGE RESTRICTIONS You must be at least 18 years old to participate in online sessions. Clients under the age of 18 years old must be accompanied by a parent or guardian and will be seen in-person. ATTENDING YOUR SESSIONS Please ensure that you are available at your session start time. If you are running late, please let me know as soon as possible. I will do my best to make a full session available, however, as the ability to do this will depend on bookings after your session, this cannot be guaranteed. OUTCOME OF SESSIONS My agreement to work on the issues presented by you, in no way implies or guarantees the resolution of your presenting issue(s). No outcome can nor will be guaranteed. However, I will always endeavour to use my best efforts and skills to work towards your goals and intended outcomes. STANDARDS OF BEHAVIOUR During the course of any therapy sessions, I will treat you with respect and not abuse the trust you place in me. I will use best practice at all times in our mutual interest. In return, you undertake not to harm yourself, or any other person, or any property belonging to either me or any other person. You agree not to attend sessions under the influence of alcohol or recreational drugs, except those medications which have been prescribed by your doctor. If you do attend any sessions under the influence of alcohol or recreational drugs, or demonstrate violent or abusive behaviour, I will cancel the session and may refuse to see you for any further sessions without refunding any payment already made. CONFIDENTIALITY All contact, including sessions, telephone conversations and emails, will be conducted in confidence. All transformational recordings, conversations and notes will remain confidential, except in the following circumstances: Where you give expressed permission for confidentiality to be broken. Where I am compelled to do so by a court of law. Where the information is of a nature that confidentiality cannot be maintained, for example: The possibility of harm to yourself or others exists In cases of fraud or crime When minors (under 18 years old) are involved Where a referring GP or other healthcare professional requires a report. A copy of the report will be available on request. LIABILITY & INDEMNITY Under no circumstances will Waqar Bhatti be liable for any damages, including without limitation, direct, indirect, incidental, special, punitive, consequential, or other damages (including without limitation lost profits, lost revenues, or similar economic loss), whether in contract, tort, or otherwise, arising out of the advice or information provided to you during professional services provided by Waqar Bhatti. In addition, you agree to defend, indemnify, and hold Waqar Bhatti harmless from and against any and all claims, losses, liabilities, damages and expenses (including legal fees) arising out of your participation in the professional services. GOVERNING LAW These terms and conditions and any other matters arising out of or in relation to these terms, shall be governed by and construed in accordance with the laws of England and Wales. You agree to submit to the exclusive jurisdiction of the English courts to settle any dispute which may arise out of or in connection with these terms and conditions. DATA PROTECTION For my services, your personal data is collected, processed, used and stored in accordance with the following privacy policy on this website www.waqarbhatti/privacy. By booking an appointment, you signify your acceptance of this Privacy Policy. If you do not agree to this policy, please do not book an appointment. The terms of this Privacy Policy may change from time to time without prior notice to you, so please check my website periodically for any changes. CONCERNS & COMPLAINTS If you have a concern or complaint regarding your therapy, please discuss this with myself in the first instance and I will endeavour to resolve the issue. Agreement: In signing below, you are agreeing to the terms and conditions as stated above. I have been made aware and agree that during the hypnotherapy and where the session is taking place face-to-face, Waqar may have some minimal physical contact with the client including: Tapping softly on their forehead (to allow them to access their subconscious mind) Rocking their head slowly or raising their hands by their thumbs to check their level of hypnosis Moving their hands or arms by demonstrating their suggestibility during the hypnotic induction. I agree to the terms & conditions and acknowledge that Waqar Bhatti will provide RTT hypnotherapy to: * Date * Click Here for Agreement