Release of liability & client info

CLIENT INFORMATION REGARDING HYPNOSIS

Liability Release

The undersigned Client acknowledges that he or she has been informed of the following information: Hypnotists of this practice agree to provide professional services in accordance with acquired training and experience giving undivided attention during scheduled consultations to facilitate Client's benefits. The work in this practice is Client centered. Services provided utilize induction of hypnosis, and methods and principles used to help clients discover their inner creative abilities, to develop positive thinking and feeling, and to transform undesirable habits and behavior patterns. Client may be taught the use of self-hypnotic techniques to assist in achieving goals and resolving issues that have been mutually agreed upon by Client and Hypnotist. Hypnosis is not a state of sleep, but is a natural state of mind that can produce extraordinary levels of relaxation of mind, body and emotions. The principles and theories upon which hypnotherapy is based are accessing and utilizing the power of one's inner resources. Hypnosis can transcend the critical, analytical level of mind, and facilitate the acceptance of suggestions, directions and instructions desired by the Client. The therapeutic use of hypnosis can also elicit information and insights from the inner mind. Hypnotist may utilizes interviews, discussion and hypnotic methods dealing with underlying issues whenever appropriate, with the goal of achieving effective and lasting results. Services to be provided do not include the practice of medicine, as our hypnotists are PhDs and not licensed physicians. These services are non-diagnostic and are complementary to the healing arts services that are licensed by the state. The California State Legislature has determined that state licensing may not be conferred upon an occupational group for purposes of status or prestige. Accordingly, Hypnotherapists are not issued licenses by any state governmental agency to engage in their professional services in California. Our hypnotists are PhDs and Certified Clinical Hypnotherapists that have acquired more than 50,000 hours of practice time and are a certified hypnotists through the North American Academy of Hypnosis, which is under the auspices of the International Hypnosis Federation, and are qualified to perform the services offered to Clients. Please contact the hypnotist directly with any questions. We do not guarantee any services or outcomes. As with all treatments, results may vary. Payment is for time and expertise. By attending your session, you agree to engage in hypnosis, and by leaving your session, you agree you are physically able to drive/travel safely, thus releasing the hypnotist(s) and associated practice of any and all liability. By using any of our recordings and reading this email, you agree to do so at your own risk thus releasing the hypnotherapist and associated practice of all liability.

 I, the undersigned Client, acknowledge that I have been advised of the foregoing information, and that I have read and agree to this Client Information document (which may or may not include receiving a digital or hard copy).

If you are reading this digitally or online AND/OR you schedule, attend, and/or complete your session, you agree to the terms of service and release the hypnotist/hypnotherapist and associated practice of any and all liability without the use of a traditional signature.

Print: ________________________________

Sign: ________________________________

Dated: ______________