Description
Please print and fill out both of the following forms and bring them with you to your appointment.
Waiver of Liability
By participating in this program, you agree to release (Marilene RIchardson and Embodied Change Hypnosis), of any responsibility or injury occurring from my hypnosis session(s).
Disclaimer
THE HYPNOTHERAPIST NOT A TRAINED MENTAL HEALTH provider. At no time will your Hypnosis Practitioner attempt to provide medical or mental health therapy. You affirm that hypnosis is appropriate for you and does not conflict with existing medical or psychiatric treatment. Always seek out and follow the advice of your physician or other professional medical practitioner before considering alternative treatment. Warranty No warranty is given, expressed or implied, for satisfactory results from your hypnosis