Online Internet Session Information & Consent
With Grant Boddington, HNZ Registered Clinical Hypnotherapist & Relationship Counsellor.

On receipt of this form and acceptance of you as a client, Grant will provide you with an invoice for the session. Please ensure that your payment is cleared prior to the session commencement.

~A Clinical Hypnotherapy session will take 75 - 90 minutes and is NZ$140.00.
~A Relationship Counselling Session will take 60 minutes and is $80.00.
~Payment may be made by either direct deposit or credit card.
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  • Please check one.
  • 1. I agree that all the information I have provided is correct.
    2. I agree to be consulted by Grant Boddington. This consent applies until revoked in writing by me.
    3. I agree that Grant Boddington shall not be held responsible or liable in any way, for any unforeseen outcome(s) from this, or any subsequent sessions that he conducts with me.
    4. I agree to pay Grant Boddington the full fee for this, and any subsequent sessions that he conducts with me, prior to each session. (Please note that payment must be cleared before the session commences.)
    5. I understand that there are no guarantees relating to the outcome(s) of this, or any subsequent Hypnotherapy or Counselling sessions, that Grant Boddington conducts with me - and that I may require more than one session.
    6. I have read the Terms & Conditions
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