Client Assessment Forms

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  • Terms & Conditions

    NOTE: Hypnotist/Hypnotherapist/Practitioner are used interchangeably in the following document.

    I have been advised of the scope of hypnosis/hypnotherapy practice and I give my full consent to receiving hypnosis/hypnotherapy sessions. I understand that results vary and that the practitioner may not guarantee results. Hypnosis/Hypnotherapy is not a replacement for medical treatment, psychological or psychiatric services or counseling.

    I also understand that the Hypnotist/Hypnotherapist does not treat, prescribe for or diagnose any condition. I understand that the practitioner is a facilitator of hypnosis or hypnotherapy and is not practicing any other profession that requires a license under the laws of the State of California that they do not posess. I am aware and understand that in some cases it may be necessary for the practitioner to respectfully touch my shoulder(s), hand, wrist, or forehead in order to assist me in relaxation. I give the practitioner permission and consent to do so in order to help me establish a beneficial state of hypnosis.

    I have been advised that I am free to terminate any or all sessions at any time. I have agreed to participate in each session to the best of my ability. I have accurately provided background information as requested by the practitioner. I understand that confidentially regarding my sessions will be honored. This same confidentially is respected when working with minors under the age of eighteen.