I acknowledge understanding all questions and the information that I have given is complete and accurate to the best of my knowledge.
I am willing to be guided through relaxation, visual imagery, creative visualization, hypnosis, coaching and stress reduction processes and techniques for the purpose of self-improvement.
I understand that the hypnotherapy, kinesiology, reiki, past life regression, transference healing & Sound Therapy I am receiving is not a substitute for normal medical care and and am aware that this is not a prescription nor a diagnosis.
I also acknowledge that I have been advised to discuss this hypnotherapy, kinesiology, reiki, past life regression, transference healing & sound therapy with any doctor who is taking care of me now or in the future and that I should continue any present medical treatment and consult my regular medical doctor for treatment of any new or old illnesses.
I understand that my personal information, notes or tapes of my sessions with my practitioner are strictly confidential and cannot be released to anyone without written consent or otherwise as may be required by law.
I understand that any hypnotherapy/past life session will be taped and kept on a secured section of the practitioner’s computer.
I am fully aware that my success depends on me doing the exercises as instructed by my practitioner.