CLIENT DOSCLOSURE & AGREEMENT

Dear Client

Before we begin, it is compulsory for you to please read this agreement and then sign and date it. This will let us know that you have read and that you understand what is written here.

This form will ask about your present condition for which you seek coaching as well as other issues you might have. It also sets out the context in which you will get the outcome you want. It also covers some of the issues of law governing our relationship.

1. Time Line Therapy™ is considered coaching and complementary health care under the laws of a number of states.
   Kindly note that I am not a licensed Medical Doctor, Psychiatrist, or a Registered Social Worker, and you acknowledge that you have never worked with a licensed person on this problem. (If you have, you need to present us with a letter of referral from the Doctor before we start the process. If you have been prescribed medication to take by your Doctor, you need to present us a letter of consent from your Doctor before we start. This means a short-written note stating that that you have informed your health care provider of your decision to engage in Time Line Therapy™ techniques.  Furthermore, nothing that happens when we meet should be construed as, nor should you believe that it is a substitute for the advice of a licensed person.
2. What to expect:
   I am a coach and complementary health care practitioner has been trained and certified in Time Line Therapy™ at the Master Practitioner level and will be doing this technique along with Neuro-linguistic Programming (NLP) and Hypnosis.
   The session(s) will probably be different from what you might have expected. In total, we will not spend a lot of time talking about The Problem, just gathering information about it. In fact, most of the session(s) are about other things.
   
   It is very important for us to discover the internal thought process of HOW you create the problem. That means that we are looking for your strategy, or how you structure the problem. Because our focus is on structure that means that, once we discover it, we can move on and focus on having the problem disappear very quickly.
   
   Because of this, take note that I may cut short your answers or even talk about your problem in ways that you have never considered. I may even ask you questions that you do not totally understand consciously in order for your Unconscious Mind to make the changes you want at the conscious level. It is important to do this so that we can reduce the time taken for the therapeutic process.
   Kindly note that if you have been in a coaching, NLP or other kind session before, expect that this one will be very different, and quite a bit shorter.
3. This is the process:
   I will begin with you telling me the problem. I will ask you for examples of the problem and other questions to discover HOW you do it on your head. I will also probe to discover the source of the problem – the participating event(s). Sometime before the end of this part of the session I will ask you what has to happen so you will know the problem is gone.
   
   
4. After the session:
   I will probably assign you some specific tasks to do. If assigned these tasks are, absolutely, a fundamental part of the process. They may take up to several days or weeks to complete. The tasks are directly related to the circumstances that created the problem. YOU MUST DO THEM. If you do not, then neither you nor I can predict the outcome. Certainly, any guarantees will not be valid if you do not do the tasking.
   
   The second thing that is important is that you will need to stubbornly focus on what you want. The people who are the happiest over-all in life are those who recognize that you have a choice to focus on what you don’t or what you do want. You can focus on negative emotions and things that make you feel bad, or you can focus on positive emotions and things that make you feel good. It is your choice. After the session, YOU MUST FOCUS ON WHAT YOU WANT.
   
   Finally, if your old pattern rears its ugly head, then you must refuse to run that pattern again. Please remember that we have the utmost total and complete respect for you and absolutely no respect for your old problem.
   
   
5. This is Coaching and Complementary Health Care Therapy:
   I, Maggie Naidoo, is a legal Complementary Healthcare Provider, and is not licensed Medical Doctor, Psychologist, Psychiatrist, Master in Social Work (MSW). The services you receive are not licensed in this state, nor are they regulated by a governmental body. The self-regulated holistic treatments and client centered disciplines in which I am trained and which I have experience include, consulting and coaching, Time Line Therapy® techniques, Neuro-Linguistic Programming (NLP) and Hypnosis. I will always provide only those services in which I have been trained, and if I find that I cannot help you, I will refer you to a licensed person who can assist you.  During your sessions I will use one or more of the following techniques:
   
   1. Time Line Therapy ™ Techniques:
      The techniques are a process of active imagination where the client imagines floating above His/her Time Line and letting go of negative emotions and or limiting decisions (or limiting beliefs). Then the client is also asked to imagine creating events in his future that support his goals or outcomes. Time Line Therapy™ techniques have demonstrated results in a broad variety of presenting problems. It is a powerful technique which allows clients to make long lasting changes in a very rapid way.
      I, Maggie Naidoo, am your practitioner, and I am certified as a Time Line Therapy™ Master Practitioner by the Time Line Therapy™ Association.
   2. Neuro Linguistic Programming (NLP):
      NLP is a model of communication – how we communicate to self and others – and how that communication creates and affects our behavior. As a study, it is a synthesis of cognitive and behavioral philosophies which focus on the information coming in through the neurology(cognitive) and the programs we run inside our heads to produce the behaviors (behavioral) we do.
      I, Maggie Naidoo, am your practitioner, and I am certified as an NLP Master Practitioner by the American Board of Neuro Linguistic Programming.
      
      
   3. Hypnosis: (will only be used as a last resort and with your knowledge)
      This is the use of trance to make changes at the unconscious level. Hypnosis has been used to produce unconscious change with clients since 1843. All of our Practitioners are trained and certified as Hypnotherapists by the American Board of Hypnotherapy. Since Hypnosis may be used during your session, for your safety you should make sure that you are totally wide awake before driving or doing any other activity that may require your concentration. I, Maggie Naidoo, am your practitioner, and I am certified as a Hypnotherapist by the American Board of Hypnotherapy.
6. Confidentiality:
   I keep all information I receive from you, confidential, and do not disclose it to persons outside our company. All client information is kept strictly confidential and is for our internal use only. (Importantly, we are required to share information about child abuse with state bodies who oversee such matters).

7. Your Guarantee:
   All work that I do is guaranteed. That means that you will receive the support and follow up to ensure that you get the results you wanted. I guarantee my work because my experience has shown me that my clients always get results. The guarantee works like this:
   
   1. You must finish the program. That means, you must attend every session. You must go through the entire process all the way to the end.
   2. You must do the tasking after the session, and you need to do it fully and completely.
   3. Having done this and allowed some time (say about 2-3 weeks) for the process to integrate then we agree to work with you until your problem is gone at no charge beyond the initial session.
   4. If I have quoted you a certain length of session after the Detailed Personal History was completed, then we will work with you at no charge until you get the result you want.
8. Your Choice, Your Responsibility:
   While, during the session, we will offer you advise and other ways of looking at your problem and its solutions for your consideration, you hereby agree that whatever I discuss is only my perspective and is not binding upon you, nor is it a prescription. If you want to discuss my suggestions with someone else, you should discuss with a licensed health care provider. It is your responsibility to confirm whether or not any changes I made produced the desired result(s). It is your responsibility to communicate your results to me. My liability is limited to the amount paid to the company for the coaching sessions.