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Agreement between Hugo Menard and Client.

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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.

 

 

Cancelled/Missed/Late Appointments.

 

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.