I understand that Alexandra Cingi is not a licensed health care practitioner, does not diagnose illness or disease, and does not prescribe medication. I agree not to discontinue or change any medications I am taking while working with Alexandra without consulting my doctor.
I understand that Hypnotherapy, NLP, EFT and Reiki are considered experimental procedures and are not a substitute for medical, psychological or psychiatric treatment or medications.
I understand that Hypnotherapy, NLP, EFT and Reiki procedures may bring unresolved and distressing memories and related emotions and physical sensations into my awareness, and it is possible that disturbing material may continue to surface after a session and require further work.
I agree to take complete responsibility for my own comfort, health and well-being while working with Alexandra Cingi. I agree that typing in my name below is the electronic equivalent of my actual signature.
Eleventh House Wales' full GDPR policy (how your personal data are handled) can be accessed here.
I consent to Eleventh House Wales holding and using my information as outlined in the GDPR policy, and understand that I may withdraw that consent at any time by email to , or in writing to Eleventh House Wales, 6 Austin Avenue, Bridgend CF31 1ND.
Please tick the method you prefer to be contacted (for appointment bookings & confirmations, the occasional updates and offers, etc.). If you prefer not to be contacted, please leave blank.