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Say Hello....

Ready to start a new chapter?

Just fill out the contact form, I’ll get back to you soon!

Phone

+61 (0) 433 834 766​

Email

Address

101 Leworthy Street, Bardon, Brisbane QLD 4065 Australia​

Get ready for your first session!

To kick things off, simply fill out a client intake form, which you can conveniently download or complete online.

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CLIENT INTAKE 

Please fill out the following form before the first consult. 

YOUR HEALTH

Are you currently under the care of a Psychiatrist or Psychologist?
Have you been admitted to hospital with any mental health issues?

Have you ever been diagnosed with or suspected of having: 

Epilepsy
Schizophrenia
Bi-polar disorder
Psychosis
Mental Health Disorders
Any suicidal ideation?
Chronic Disease or Illness

MORE ABOUT YOU

Have you ever participated in Hypnosis or NLP before?

PRE SESSION DISCLAIMER 

I certify that all the information provided is true & correct. 

I must disclose any health issues that I am currently or previous being treated for. 

Teresa Hayfield is not a psychologist, psychiatrist or counsellor, and these sessions in no way replace a diagnosis from a medical professional. 

The results of the hypnotherapy / NLP sessions are dependent on me following the instructions to the best of my ability.

I understand that this is not talk therapy & I need to play an active role to the best of my ability.

Everyone responds differently to treatment and therefore results may vary and cannot be guaranteed. 

At times it may be necessary for Teresa to respectfully touch my hand, arm, shoulder or wrist. I give the practitioner permission to do so when appropriate. 

Since I, as the client, am in charge of my own hypnotic state, I can terminate a session at any time. 

Personal content discussed in the session is strictly confidential. 

I have read the terms and 
conditions of service on the website.

Thanks for submitting. We will get back to you shortly

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