Before proceeding with the treatment of hypnotherapy, it is important that you, as the "Client" understands the necessary information about the treatment.

This form contains the important information about hypnotherapy including our policies. This explains the rights of our patients or clients, the privacy protection, and how we use your personal information.

Signing this document represents our understanding with regard to the agreement. Thus, it is important that aside from reading over the contents of the form, it is likewise important to discuss any questions you might have. Hypnotherapy requires establishing a relationship between the client/patient and the hypnotherapist..

Just like the rights that persons can have, these rights are limited. There are also legal limitations to those rights that you should be aware of.

What is Hypnotherapy

Hypnotherapy is a mode of therapy conducted on an individual basis. Treatment using hypnotherapy is done while the client/patient is in a trance state.

Compared to "talk therapy," there is so much that can be accomplished with hypnotherapy in a shorter amount of time. The benefits of hypnotherapy is more realized as you continue with the sessions after a few weeks.

Sessions and Experience

Hypnotherapy takes roughly 1 hour. This is done by assisting you as you reach a relaxed state that shall induce you to a state of hypnosis. Age regression may be conducted for helping you be more comfortable in releasing your behavioral, cognitive, and emotional blockages. No hypnotherapeutic treatment will ever be provided without your understanding and consent.

Recording

We record all sessions for the safety of our clients and the safety of our hypnotherapists and hypnosis professionals. This recording is stored with your patient record and is considered Protected Health Information (PHI). You are welcome to request a copy of the audio recording of your session, though it should be understood that requesting this file, you are taking responsibility for the privacy of your PHI, as we cannot control who has access outside of our agency.

Risks

Depending on the type of personality of the patient, hypnotherapy can be an intense process as this focuses on the unconscious mind which can bring unpleasant memories or emotions. Thus, there may be times that your hypnotherapist may end a session early, or extend a session dependent upon your needs and emotional wellbeing.

We cannot guarantee that hypnotherapy works for everyone or that change will occur at the same pace as others. The Unconscious Mind is a deep part of our self, which means that timing is based completely on the patient/client, and their Unconscious Mind's understanding of the situation.

Benefits

There are many benefits to hypnotherapy. The hypnotic state allows the patient to be more receptive to discussion and suggestions. Thus, it helps with treating phobias, anger, fears, depression, stress, loss and grief, and anxiety among others. It can also be used as a treatment of controlling and overcoming habits. To achieve the ideal results, the full and active cooperation of the patient is required.

I acknowledge that I have read and understand the above information. I have had the opportunity to ask questions regarding the therapy and anything related to the treatment and by which answers were given to me to my satisfaction.

I declare that I am of legal age with my mental faculties in tact to give full consent. My signature is my express statement that I agree to participate in hypnotherapy sessions.

Payment Policies
Payment is required at the time of booking. Booking is not possible through email, telephone, or with your provider directly. All bookings must be processed through the booking software on this site. Payment is made through the booking software at the time of booking. We accept all major credit cards. As mentioned in other areas of the terms and service, there are no refunds on bookings or audio files.

Cancellations
There will be no refund for cancelled appointments. Cancellations are accepted up to 24 hours prior to scheduled appointment. If the cancellation policy is adhered to, the payment for the session will be applied to a rescheduled appointment in a future date, provided that the rescheduled appointment occurs within 3 months of the date of the originally scheduled appointment. Failure to provide 24 hour notice for cancellation will result in forfeiture of the booking fee.

On occasion, emergencies may arise with clients or your provider. If cancellation is resulting from an emergency, or if your provider has cancelled for an emergency, regardless of time of notice, booking fee will be applied to a future appointment, provided the rescheduled appointment occurs within 3 months of the date of the originally scheduled appointment.

At no time will refunds be provided for bookings. Please ensure that you understand this information before booking.

We strive to ensure that your chosen provider is available for your appointment, but occasionally, in the case of emergency, crisis with a client, or computer error, you may be provided with the option to see another provider of the same level of qualification and certification. At all times, clients will only be seen by a qualified and certified hypnotherapist who specializes in and has great understanding of the AB/DL and Kink Communities.

Health Insurance
Most insurance plans do not cover hypnosis or hypnotherapy services provided outside of a medical professional/psychotherapist. Therefore, Hypnosis412 will not submit to or accept any insurance plan. All services are considered Self-Pay. If your insurance plan agrees to pay for our services, it will be the responsibility of the client to submit all paperwork to the insurance company directly for reimbursement. Even in this case, A Little Hypnosis cannot guarantee reimbursement from insurance plans or programs.

Financial Assistance
For those that may have a financial hardship that would prevent them from utilizing hypnosis services, we do offer our Financial Hardship Program. This program has a limited number of spots and once filled, the program will be unavailable until a spot is opened up. Please review the terms and conditions prior to applying. You can learn more about this program by visiting the financial assistance page, linked in the menu.

Recording
As mentioned in the Informed Consent, all sessions are recorded. This is a safety requirement and ensures that there is record of what is said and done during a session, in the event that the client is in such a deep trance that they are unable to recall the session. As a patient, you have the right to request a copy of the audio recording of your session. However, please understand that once we have provided this file, you are responsible for the security of the file, as we are unable to maintain PHI security when files are not in our possession.

Refund Policy
We do not offer refunds for any services that are offered. When booking an appointment, you are paying for the time with the hypnotherapist, not a specific outcome. Please make sure that you reach out to us with any questions prior to booking your appointment. The nature of hypnosis means that results are not guaranteed as change work requires the work of both the hypnotherapist as well as the client, working together.