Consent Form for Hypnotherapy Services

I acknowledge that Hypnotherapy is a gentle, self-improvement technique designed to promote relaxation and reduce stress. I understand that hypnotherapists do not diagnose medical or psychological conditions, prescribe medications, perform medical treatments, or interfere with care provided by licensed medical professionals.

I recognize that Hypnotherapy is not a substitute for medical or psychological treatment, and I am advised to seek care from a licensed physician or healthcare professional for any physical or psychological concerns. However, I understand that Hypnotherapy may complement ongoing medical or psychological care.

I acknowledge that the body has an innate ability to heal itself and that achieving deep relaxation can be beneficial to this process. I also understand that long-term imbalances may require multiple sessions to reach the relaxation level necessary for healing.

Agreement & Acknowledgment

By signing this form, I agree to the following:

1. Voluntary Participation: I am voluntarily participating in Hypnotherapy because I choose to do so.
2. Transformation Process: I understand that transformation is a process and may take time.
3. Personal Responsibility: My progress depends on how I care for myself physically, mentally, emotionally, and spiritually.
4. No Guarantees: No warranties or guarantees have been made regarding specific outcomes.
5. Refund & Expiration Policy: All purchased packages are non-refundable and must be used within 60 days to avoid expiration.
6. Accountability: I acknowledge that I am responsible for my own actions, decisions, and outcomes, and I release any blame toward myself or others.
7. Active Participation: I understand that I am not a "patient" but an active participant in my hypnosis experience.
8. Scope of Practice: I acknowledge that Hypnotherapist is not a medical doctor, psychologist, or mental health professional. Hypnotherapy services are non-therapeutic and are not intended to replace professional medical or psychological care.

Telehealth Services Agreement

I understand that telehealth Hypnotherapy services (remote or online hypnosis sessions) are offered as an alternative to in-person sessions. I acknowledge the following:

• Telehealth sessions use secure video conferencing technology to provide services remotely.
• The effectiveness of Hypnotherapy via telehealth may vary to individual experiences.
• I am responsible for ensuring a quiet, private space during my telehealth session.
• I understand that technical issues, such as internet connectivity problems, may impact my session, and I agree to reschedule if necessary.
• I acknowledge that telehealth services do not replace in-person medical, psychiatric, or emergency care.
• I understand that all telehealth sessions must be prepaid and are non-refundable once scheduled.

Membership Agreement (if applicable)

I understand that by enrolling in a Hypnotherapy Membership Plan, I agree to the following terms:

• Membership fees are non-refundable and automatically billed on a recurring basis.
• Membership benefits may include discounted sessions, exclusive content, and access to specific Hypnotherapy programs.
• Unused sessions do not roll over beyond the membership period unless explicitly stated in the membership terms.
• Cancellation of membership must be made in writing at least 30 days before the next billing cycle.
• Membership cannot be transferred to another individual.
• The provider reserves the right to update membership terms and fees with advance notice.

Cancellation & Rescheduling Policy

I agree to provide at least 48 hours' notice if I need to cancel or reschedule an appointment. If I fail to do so, I understand that I will be responsible for the full session fee.