TO PREPARE

The following contents of this page will help you to be prepared for our time together:


~Release Cover Letter

~Release Form

~Suggested Formats

~Contact Information

General Principles ~ that Guide my Consultations


This page is meant to provide you with general information for your Consultation with me. The actual "Release Form" will be presented to you to sign at the time of our Initial Consultation. However for your convenience, located below the Cover Letter is a copy of the Release Form you will be signing.


RELEASE FORM COVER LETTER


Dear Client,


I thought this letter might be useful in letting you know a few of the general principles that guide my consultation work and also introduce some ideas as to why you will be asked to sign here in my office, at the time of your appointment, a Release Form which clarifies some of these principles. If you have been here before, of course, you know the format of our work together. New clients might like to know some of the basic elements of the upcoming consultation -- though I’ll be telling you more about them when I see you.


1) I approach my work in the same way as any professional, especially dedicated to honoring privacy and confidentiality and to full disclosure. The Release Form asks you to agree formally to these professional principles.


2) As in any professional consultation, the material you are presented represents the best information I am able to give. But even when it is very specific and direct, all clients have the sole responsibility of dealing with any information or advice presented. The information may well become more meaningful over time and that is why an audio recording is provided for you under the conditions of the Release Form. For both our protection, an identical audio tape is kept by me in confidential files. So, it is important for you to understand that you have the responsibility for acting on any information you are given in the consultation or ignoring it if you see fit. It is especially important that you be very careful about interpreting health-related matters that may come up. I am not a physician, psychologist, or psychiatrist, and you should always check your health status with capable and reliable health-care practitioners.


3) Since you are a paying client, your satisfaction is paramount. Thus, all first-time clients, if not satisfied with the consultation for any reason, may, at any time, ask for your payment to be refunded. If you come for two or more visits, I will assume you are happy with the service and shall remain responsible for payment.


Intuitive consultation does not have a national association, state licensing procedures, or published professional guidelines. My colleagues in other professions have thus urged me to prepare a legal Release Form for my protection, particularly because I do not prescreen my clients. So, even if you have been here before, please read the Release Form carefully and sign with full understanding.


Sincerely,

Cynthia M. Sexton


Please note:

Since I am not a health care practitioner insurance reimbursement is not an option.



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RELEASE FORM

for Intuitive Consultation



1.) I have read and understood the general principles presented in the cover letter.


2.) I understand that all responsibility for receiving, interpreting, and acting on Ms. Sexton's consultation is mine, and I therefore agree to release and discharge and hold harmless Ms. Sexton and her employees, agents, associates, successors and assigns from any and all liability, claims, and/or actions which arise or could arise from the consultation, including personal difficulties.


3.) I understand that I will be given an audio-tape of the consultation. I understand that this tape will be loaned to me for as long as I wish, but that it will remain the property of Cynthia M. Sexton and that her comments and the contents on the tape will remain her copyright. I agree not to publish or broadcast her comments made during the consultation for commercial or public use unless I get her permission in writing beforehand. (Obviously, it is fine to play the tape for close friends and associates, but not for public gatherings.)


4.) I also understand that Ms. Sexton, her agents, successors, and assigns, will keep a duplicate of the audio-tape, and they are allowed to use its contents for research, study, or publication, except that any identifying markers (i.e.: my name, social security number etc.) will not be used in any public or research use or publication without my written permission beforehand.


5.) In case that the recipient of the consultation is a minor, then I, as the parent of person having legal custody of the young person, agree that I have read and understood the contents of this release and agree to all its conditions on behalf of the young person.


6.) I understand that Ms. Sexton is unable to guarantee a tape recording of this session.




Name (print please)


Occupation


Date of Birth


Address (Street, Apt. No.


City, State, Zip Code


Telephone


(H)


(W):


CELL:


EMAIL ADDRESS:


Referred by:


Your Signature


Today's Date & Witness of Signature   (this is for me to sign.)


Session Reference Number: (I will fill this in as well.)


(The above information, except for your signature, is optional, but will be helpful in the case that I move offices or discover material that might especially interest you.---- CMS)


*____Please check here if this is a new address.

*____Please check here if you wish to NOT be on my mailing list.


For out of town clients: CALL ME AHEAD if you would like to fax the Signed Release Form . The fax number is 301 654-3256 but you must contact me first before that number will receive your call properly.


Since I am not a health care practitioner insurance reimbursement is not an option.




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SUGGESTED FORMATS

New Client and Returning Client Sessions




With new and returning clients, the amount of time we spend together determines the depth and the range of information that can be covered during the course of one session. We do share the same intention to have each session be as productive as possible each time we meet. Since our time together always manages to pass very quickly, partially due to the fact that the session can be fun as well as being very interesting, it will be beneficial to be somewhat in touch with what you believe would be useful to take home from our session (if you are able to identify that at this time). The following three formats are available for you to consider. Of course, at any time you can design your session in whatever way you feel will yield the most constructive expenditure of our time together.


Please remember that I do have a gift. It allows me to know you from the inside as if I have always known you. No, not your image but who you have been, have become, and who you have the potential of becoming. I place this skill only in the service of your inner growth, and the unfolding of outer daily life so that it is an appropriate reflection of who you really are, and what you really need. Of course, adult life is about sharing life with others, and making compromises. What my work serves is to be sure that no inappropriate compromises are made. Keep all this in mind as you read these options of how we can spend our time together, and consider which format will meet your needs best. You do not have to decide before your appointment. We can discuss it then if you wish.


For RETURNING CLIENTS ~ Focus sessions: With this option we can use a format that is designed to focus on specific issues affecting you and your life today. At the beginning of the session you can inform me of your agenda, and I will intuitively listen. While listening in this in-depth way, I am able understand your situation or relationship from the concrete information you are giving me as well as having a broad and deeper perspective. I then will share that with you and deliver as much perspective surrounding that core issue as possible. Many people who use this format come into a session with me usually concerned that they may be too emotionally reactive and not seeing things broadly or objectively enough to trust their judgment. (This option is primarily for returning clients but not exclusively.)




For RETURNING CLIENTS ~ Insight sessions: At our first meeting many of you chose to not speak but instead chose to met me share with you insights I had just by sitting with you quietly for a few minutes. I would like to invite you to experience this type of session once again, if you have not done so already. Please consider this an option at least once every year.


In this format a broad overview of perspective is presented by me to you for the purpose of constructing a tool that will enable you to have a more expanded and objective view of yourself and your life. This information is delivered by me without any input from you. In choosing this format permission is extended to me to use as much of the time as needed, to present information that seems to be most useful to you and your growth process at this time. Approximately one quarter of our time will be set aside for questions and for closure of the session.




For NEW CLIENTS ~ Insight sessions: In this format a broad overview of perspective is presented by me to you for the purpose of constructing a tool that will enable you to have a more expanded and objective view of yourself and your life. This information is delivered by me without any input from you. In choosing this format permission is extended to me to use as much of the time as needed, to present information that seems to be most useful to you and your growth process at this time. Approximately one quarter of our time will be set aside for questions and for closure of the session.




For NEW AND RETURNING CLIENTS ~Focus & Insight sessions: In this format only a part of your session will be used by me and as described above I will speak with you without any input from you. The second half of the session will be left unstructured. Therefore, you may design the use of the second half of your session in whatever way you feel will be most helpful. You may want to ask questions or for more depth on what has already been introduced, present some new subject matter that has not yet been discussed during the session or you may choose to have me continue to present you with information. Please note that we will use about five or ten minutes of this time for closure.


Recording the session is an added service provided to my clients. While I cannot guarantee a perfect recording of every session, as electrical equipment is vulnerable to variables, every effort will be made to give you the best possible digital recording of your session each time we meet. Recording will begin immediately at the onset of our time together.


Please remember... these are only suggestions and certainly not the only way we can work together. This is only meant to be food for thought in preparation for a session. Especially if it is your first visit with me. If you think it would be helpful to talk with me in person regarding making a choice, please do not hesitate to contact me.



My email address is - cynthia@cynthiasexton.com

My telephone number is - 301 654-3255


This website belongs to Cynthia M. Sexton. No duplication, reproduction, distribution or public display of any part of this work without express written authorization by the author is permitted. No unauthorized use of this website or any of its contents, in part or in whole is permitted. Cynthia M. Sexton 2011© All Rights Reserved.




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Contact Information


Email: cynthia@cynthiasexton.com




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