Body Mind Soul Healing Client Liability Waiver

I, the undersigned, understand that hypnosis is a healing practice and not a substitute for medical treatment, psychotherapy, or counseling. I acknowledge that Rosa Whipple is a certified hypnotist and not a licensed medical professional.

At no time will your Hypnosis Practitioner attempt to provide medical treatment. 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.

I voluntarily seek hypnosis services and understand that my participation is entirely voluntary. I am free to withdraw from hypnosis sessions at any time.

I understand that all information shared during my hypnosis sessions is confidential and will not be disclosed to third parties without my written consent, except where required by law.

I acknowledge that while hypnosis is generally considered safe, I agree to notify Rosa Whipple if I experience any adverse effects. I understand and accept that there are inherent risks associated with hypnosis, including but not limited to emotional responses and discomfort. I assume full responsibility for any and all risks, injuries, or damages known or unknown which might occur as a result of participating in hypnosis sessions. I agree to release Rosa Whipple, of any responsibility or injury occurring from my hypnosis session(s).

In consideration of being permitted to participate in hypnosis sessions, I, on behalf of myself, my heirs, and assigns, hereby release and discharge Rosa Whipple/Body Mind Soul Healing  from any claims, demands, or causes of action arising from my participation in hypnosis sessions.

I agree to pay for all hypnosis sessions and understand that refunds are not provided for completed sessions.

Cancellation Policy: Please refer to the Client Bill of Rights for the full cancellation policy. By signing this form, you acknowledge that you have read and understood the cancellation terms.

Methods Used

The Hypnosis Practitioner employs hypnosis techniques which are designed to facilitate the client’s quest for self- improvement. Specific additional techniques may include: Body Relaxation, Directed Meditation, Age Regression, and Guided Imagery.

Training and Certification

Hypnosis Session provided by: Rosa Whipple, trained and certified in hypnosis by the National Guild of Hypnotists.
I have received and read this client liability waiver and understand what I have read.

Client’s Signature and Date: