Data protection, info sharing, GDPR

To comply with GDPR, please only complete the form when you have paid your deposit, the full session, or your package, to avoid collecting information I do not require.

This is to inform you what data I am collecting from you and what I intend to do with it.

What data do I keep and why do I need it?

  • Name and age – this is basic information that helps me get to know you.

  • Address, email address, phone number – I use this as a way of contacting you regarding your sessions. I will mainly use the method you first contacted me on , or preferred method on contact form. If I cannot reach you, I will try a different method.

  • Next of kin/medical professionals details – If I was worried that you were at risk, then I may need to contact your next of kin or medical professional, if I can. I will let you know when/if I am going to do this.

  • Session notes – I keep brief notes of our session(s), all that I need to remember for future sessions with you, or in case of needing to answer medical professionals about our session.

Will I share your data and if I do, who will I share it with and for what purpose?

It is very unlikely that I will share your data. I will not sell it on, nor use it for unethical reasons. I may have to share it if my notes are subpoenaed by court, if you or anyone you tell me about is at harm or risk of harm I may have to pass this information on. I may also discuss your case during supervision but I only use your first name.

How will I store your data?

It is mainly stored as hard copy in a locked filing cabinet. Immediately after the work is finished, I transfer the data with your initials to my password protected computer. Your phone number(s) may be kept in my business mobile phone with your first name and last initial. Only I will access your information.

How long will I store your data for and how will I dispose of it?
I will keep your details and session notes for the time required by my insurer.
After this time I will destroy any document with your personal information and delete your phone number out of my mobile phone.


I consent to my data being used as set out above (initials and date please)

Therapist signature: Nathalie Crittenden-Lopis, and

Client signature: