Enquiry Contract

Therapy contract with easy head.co.uk

Please provide the details requested below and (and circle/tick or delete where appropriate):

Data Protection Act

Please indicate that this is acceptable by placing a tick above the word ’Yes’ below:
If this is not wanted, please place a tick above the word ‘No’ below:

If ‘No’ has been chosen, all data will be destroyed within a 7 day period.
Data can also be destroyed at the after requesting it be done

Disclaimer Notice:

Law and jurisdiction to : This disclaimer will be governed by and construed in accordance with English law with any related matters to this disclaimer being subject to the [non-]exclusive1 jurisdiction of England and Wales with due respect to all. Treatment is considered to be complete when any changes have occurred. Limitation and exclusion of warranties and liability: Our business fall in to the category of Holistic Treatments which is used in many medical practices. All documents given to clients are for informative purposes only. This disclaimer will:(a) limit or exclude our or your liability for death or personal injury resulting your own of way of life; and will not(b) limit or exclude our or your liability for fraud or fraudulent misrepresentation; (c) limit any of our or your liabilities in any way that is not permitted under applicable law; or (d) exclude any of our or your liabilities that may not be excluded under applicable law. The limitations and exclusions of liability set out in this Section and elsewhere in this disclaimer: (a) are subject to the preceding paragraph; and (b) govern all liabilities arising under the disclaimer or in relation to the subject matter of this disclaimer, including liabilities arising in contract, in tort. We will not be liable to you in respect of any losses arising out of any event or events beyond our reasonable control.

Statement of client

Please read this form carefully. If you have any further questions, do ask – we are here to help you.
I agree to the hypnotherapy treatment for improving my health and life I understand that any procedure in addition to those described on this form will only be carried out upon agreement to aid the treatment of that stated above.

Please sign below to confirm your the agreement to the statement above:

The full name of our company is “Nowaiting Limited” Our company registration number is : 3788747
Our registered address is :9 Sevenoaks., Stockport, SK4 4AP and we can be contacted by calling 07795324323