Agreement between Hugo Menard and Client.
I have been informed that Hugo Menard is not a licensed health care provider, therapist, or psychologist.
I understand that the services he provides in energy psychology are educational in nature.
I agree that this work is not psychotherapy and I am responsible for my own well being, during and after our work together.
I understand that I am advised to consult with my current health care providers before changing any medications or other treatments.
I understand that each session will be held in the strictest confidence and with the utmost respect, taking into consideration the following as required by law:
Hugo may disclose private information without consent in order to protect clients or the public from serious harm — if, for example, a client was to discuss plans to attempt suicide or harm another person.
Hugo is required to report ongoing domestic violence, abuse or neglect of children, the elderly or people with disabilities. (However, if a client discloses he or she was abused as a child, Hugo typically isn't bound to report that abuse, unless there are other children continuing to be abused.)
Hugo may release information if she receives a court order. That might happen if a client's mental health were to come into question during legal proceedings.
I understand that Hugo may not give medical advice or diagnose medical conditions.
I understand I may contact Hugo for follow-up via email if needed.
I understand that sessions are paid for in advance unless sessions are in person in which case they can be paid at the conclusion of each session.
I understand that clients having a history of epilepsy or psychotic episodes should only use energy psychology and the other methods provided while under direct supervision of a doctor or therapist.
Stand alone sessions: I understand that full payment will be required for missed sessions and sessions not cancelled more than 24 hours in advance.
Package sessions: I understand once I have agreed to a session time, cancellations or changes must be made more than 24 hours prior or I forfeit the session. I understand if Hugo has to reschedule my session for any reason and at any time, I will be able to add that session to the end of the term if I am unable to have the session within 7 days. I understand that it is important for me to respect the agreed to session times and that Hugo will do the same. If I am late for my session, the session time will not be extended by the amount of time I am late. I understand that if Hugo is late for my session, the session time will be extended accordingly or the extra time will be added to a future session if Hugo or I do not have time to extend the session he was late for. I understand that I will not be liable for sessions that must be postponed or delayed for technical reasons beyond my control, such as Internet failure but that after 3 instances of session delay or cancellation due to issues with my Internet, I will accept phone sessions at Hugo’s expense if I live in Australia until I can sort out my technical issues.