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Hypnotherapy Disclaimer Form

Client Information

Disclaimer

  1. Nature of Hypnotherapy: I understand that hypnotherapy is a complementary health practice that involves the use of hypnosis to facilitate positive change and improve well-being. It is not a substitute for medical or psychological diagnosis and treatment.


  2. Scope of Practice: The hypnotherapist is not a licensed medical professional, psychiatrist, or psychologist and does not diagnose, treat, or cure any medical or psychological conditions.


  3. Results and Expectations: I understand that results from hypnotherapy may vary and that there are no guaranteed outcomes. The effectiveness of hypnotherapy depends on my active participation and commitment to the process.


  4. Confidentiality: All information shared during the session will be kept confidential unless disclosure is required by law or I provide written consent.


  5. Consent to Participate: I have voluntarily chosen to participate in hypnotherapy sessions and understand that I may withdraw from the process at any time. I am aware that I have the right to ask questions and receive answers about the process.


  6. Risks and Discomforts: While hypnotherapy is generally considered safe, I understand that it may involve the recall of memories or emotions, which could cause discomfort. I agree to communicate openly with the hypnotherapist about any discomfort or concerns.


  7. Emergency Situations: I understand that hypnotherapy is not suitable for emergency situations or as a sole intervention for serious psychological conditions. In case of emergency, I will contact the appropriate healthcare professionals.


  8. Payment and Cancellation Policy: I understand the fees for hypnotherapy sessions and agree to provide at least 24 hours' notice for cancellation. Failure to do so may result in a cancellation fee.


  9. Legal Disclaimer: I understand that hypnotherapy services provided are for educational and self-improvement purposes only. The hypnotherapist does not engage in rendering medical, psychological, or other professional advice or services. If I require medical or psychological services, I should consult a licensed healthcare provider.


  10. Medical Conditions: I affirm that I have disclosed any known medical or psychological conditions that could affect my participation in hypnotherapy sessions. I understand that it is my responsibility to consult my healthcare provider before starting hypnotherapy if I have any concerns. 


  11. Termination of Sessions: The hypnotherapist reserves the right to terminate the sessions at any time if they feel it is in my best interest or if I am not adhering to the agreed-upon terms.


  12. Professional Boundaries: I understand that the relationship between the hypnotherapist and myself is professional. Any form of physical contact or behavior that is inappropriate is not acceptable and may result in the termination of sessions.


  13. Feedback and Follow-up: I agree to provide feedback on the sessions and understand that follow-up sessions may be recommended to achieve the desired outcomes. It is my responsibility to schedule these sessions if I choose to continue.


  14. Informed Consent: I have been informed about the process and nature of hypnotherapy. I understand the potential benefits and risks involved. I consent to participate fully informed of these considerations.


  15. Release of Liability: I agree to release the hypnotherapist from any claims or liability arising from my participation in hypnotherapy sessions, except in cases of gross negligence or willful misconduct.


  16. Dispute Resolution: Any disputes arising from hypnotherapy services will be resolved through negotiation and, if necessary, through mediation or arbitration in accordance with the laws of the governing jurisdiction.

Client Acknowledgment and Signature:

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