Disclosure Statement | Page 1 of 5

Tamelynda Lux

StepStone Hypnosis & Hypnotherapy

Lux & Associates (est. 1988)

PO Box 29061 London, Ontario Canada N6K 419 519-670-5219

info@TamelyndaLux.com | www.TamelyndaLux.com

FaceBook:@TamelyndaLux | Twitter: @TamelyndaLux

 

Tamelynda Lux is a Certified Professional Hypnotist with the International Certification Board of Clinical Hypnotherapists (ICBCH). She is a Certified Member of the National Guild of Hypnotists (NGH) and completes annual continuing professional development and/or education to maintain her training at a high level. Tamelynda Lux and StepStone Hypnosis and Lux & Associates offers the following supportive services:

 

Credentials for Tamelynda Lux:

• Certified Consulting Hypnotist (CCH),
• National Guild of Hypnotists (NGH) Certified Professional Hypnotist (ICBCH)
• Certified NLP and Life Coach (ICBCH)
• Certified Canadian Red Cross Psychological First Aid, Instructor Level
• Certified Canadian Mental Health Association: Mental Health First Aid,
• St. John's Ambulance Certified Canadian Red Cross Standard First Aid/CPR/AED
• Certified End-of-Life Hypnosis Specialist (HPTI)
• Certified SP Advanced Hypnosis
• Trauma Care - Individual, Dr. Eric Gentry, Arizona Trauma Institute (in progress)
• Grief and Bereavement Counselling Diploma Course (in progress)
• Addiction Care and Treatment, Faculty of Medicine, UBC/CE
• Professional Co-active Coach, Coaches Training Institute
• Life Skills Coach, University of Western Ontario
• Diploma in Adult Education, St. Francis Xavier University
• Certified Family Council Facilitator, Canadian Association of Family Enterprise

Tamelynda Lux is not a physician nor licensed by the province as a healing arts practitioner. These services are non-diagnostic and do not include the practice of medicine, psychology, or any other healing art, nor does Tamelynda Lux recommend discontinuance of medically prescribed treatments. These services are not licensed by the Province of Ontario. If a client desires a diagnosis or any other type of treatment from a different practitioner, the client may seek such services at any time. It is the dient's responsibility to inform his/her physician or other medical practitioners that they are using hypnosis. It is assumed that by way of the client's signature that the client has either notified his/her medical practitioners that they are seeing a consulting hypnotist/hypnosis practitioner for support in dealing with any concern/situation or that client has elected not to inform their physician at this time.

Tamelynda Lux and the practitioners at StepStone Hypnosis & Hypnotherapy utilize hypnotic techniques and instruction and coaching to help clients make changes both consciously and subconsciously. Techniques include but are not limited to hypnosis,

Disclosure Statement

Tamelynda Lux, StepStone Hypnosis & Hypnotherapy, Lux & Associates (est. 1988)

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self-hypnosis instruction, relaxation training, visualization, instructional handouts, and digital access to audio & and video supplements.

You, the client, accept the session/s is offered on the basis of the information you supply, which you represent and warrant to be complete and truthful. Hypnosis is a brief intervention process. It is difficult to predict the number of sessions you will require to resolve your issue, though an ethical assessment is done in the initial call, and a plan is set from there. Ongoing sessions will always be discussed with you, and you will have the right to express your preferences regarding your session plan and timeframe.

Tamelynda Lux promises to do her best to help you achieve a successful outcome for your session/s. However, you accept that an agreement to work on an issue does not mean that a particular outcome can be guaranteed. Fees are payable for your sessions and the time and expertise of the consultants, regardless of the outcome. Results may differ from person to person.

Pain Therapy Disclaimer: If you wish to reduce or stop any medication, then medical support is strongly advised. This appointment does not take the place of medical advice and assistance. You will be accepting full responsibility for turning the pain down or off and advised to take note of any new pain if it arises and seek medical attention as is appropriate.

Hypnosis is a very powerful process that has helped millions of people make changes that they want to make in their life. However, hypnosis is not "mind control." For example, no one, not even the very best hypnotist, could MAKE you change your habits or behaviors. All hypnosis is self-hypnosis, and the responsibility of change is yours. Doctors don't guarantee that you will get well. Teachers can't guarantee that you will learn. Lawyers can't guarantee that you will "win" your case. As a certified consulting hypnotist, what I can guarantee is the very best service I can provide using appropriate hypnotic and coaching techniques for your situation.

Client to initial they have read, understand, and agree to each of the following statements:  

Initials
{clientInitials}	I am in charge of my mind, and therefore my results. Mind and body form a linked system. My mental attitude affects my body and my health and, in turn, how I behave.
{clientInitials}	If what I am doing isn’t working, do something else. Flexibility is the key to success.
{clientInitials}	We are always communicating. Even when we remain silent, we are communicating. Non-verbal communication can account for a large proportion of a message.
{clientInitials}	It is my interpretation and response that reflects the effectiveness of any suggestion.
{clientInitials}	I understand that hypnosis is not mind control and that the hypnotist cannot “make me” or guarantee results.
{clientInitials}	There is no failure, only feedback. What seemed like failure can be thought of as success that just stopped too soon. With this understanding, I can find solutions and improve the quality of what I do.

Session Content: Hypnosis is delivered at a scheduled hypnosis session. However, it is not always necessary to do hypnosis during every session hypno-coaching session. Sometimes we may need to work together in a conscious state of mind.

Important! Hypnosis practitioner and client relationship responsibilities include the following statement of understanding. If Tamelynda Lux is presented with information that may be illegal or threat of harm to you or others, e.g., suicide, child abuse, etc., Tamelynda Lux may report this possibility to authorities.

Responsible Conversations: Taking personal responsibility and being accountable for your life is the only path to true transformation. You will always be asked to speak from a place of responsibility, based on the choices you made leading up to the

 

Disclosure Statement

Tamelynda Lux, StepStone Hypnosis & Hypnotherapy, Lux & Associates (est. 1988)

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event you are faced with. An example would be being responsible for coming to your appointment on time. I understand you have "reasons" for things happening in your life. Please keep in mind you always have a choice. Even though you may get uncomfortable at times, I will ask you to face yourself truthfully.

Distractions: In order for me to work with you effectively, you will need to come prepared to turn off cellular phones, hand-held devices, laptop computers, or other technology and noisemakers. If working online (via Zoom), the Client agrees to having the proper set-up and equipment and environment conducive to a hypnosis session, meaning also private, safe, quiet, and uninterrupted. If coming to my office in-person, do not bring pets into my office as other clients may have allergies.

Important: this office is a scent/fragrant-free environment for health reasons for clients and the practitioner. Do NOT wear any scents/perfumes/fragrances/aftershave or essential oils. Thank you for understanding. Do not bring children; please make arrangements for childcare. You may bring water but no food, cigarettes, drugs, or weapons.

Tamelynda Lux will use best practices at all times and adhere to the standards of conduct, as stated by her governing bodies. Tamelynda may (or may not) record the session for her note-taking purposes only; neither any recording or session notes will be shared with the Client because it is typically counterproductive for a client to review a recorded session and best to allow the subconscious mind to process in its own natural time. Client agrees not to record the session without the express written permission of Tamelynda and doing so without Tamelynda's awareness or permission is considered intent to deceive on the part of the Client.

By attending your session, whether in-person or online, Client agrees to the following standards of behaviour:

1. Be free from drugs and alcohol (except medication prescribed by your doctor).
2. You will not harm yourself or others (including any employees of Tamelynda Lux) or any property belonging to Tamelynda Lux or others.
3. Take your session seriously and treat Tamelynda Lux and her consultants with respect. 
4. If you demonstrate violent, abusive, or anti-social behaviour, Tamelynda Lux reserves the right to cancel the session and any future sessions.

Tamelynda Lux will not release any information to anyone without written authorization from you, except as provided for by law. Client notes are kept both in written form and electronically. Your information will be protected by reasonable security safeguards against loss and theft, unauthorized access, or use. Your information will never be sold or distributed unless required by law. You may be added to my mailing list to receive newsletters and special offers. If you wish to be removed from these, you can unsubscribe at any time or notify Tamelynda Lux in writing. Spam will not be sent to you.

For supervision and training purposes and continuing professional development (CPD), anonymous case histories may be shared with other therapists or hypnotherapists. Anonymous means your personal details are removed, and no information that might identify you is used. If you do not wish your information to be used in this way, please inform Tamelynda Lux via email.

Tamelynda Lux will respect client confidentiality at all times except if:

• You reveal you intend to harm yourself or another person,
• You reveal that a child is being abused or is in danger of abuse,
• We are compelled to reveal information by a court order,
• You reveal you are a member of a terrorist organization - this must be reported to the police, and/or
• You reveal you are laundering money from the sale of drugs - this must be reported to the police.

Your investment for services will be prepaid. The first session as a new client may be 90 to 120 minutes. Subsequent sessions vary from 60 to 90 minutes. Please note, however, that all lengths for session time are approximate as they are unique to each individual's experience. Session packages, pre-booked, and pre-paid may qualify for a discount in session fees. Clients will be given 60 days' notice of any change in fees.

Hypnosis benefits and expectations are relative to client responsibility and commitment to achieving their outcome. Hypnosis is a powerful tool in utilizing the resources of your mind and body to

Disclosure Statement

Tamelynda Lux, StepStone Hypnosis & Hypnotherapy, Lux & Associates (est. 1988)

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benefit you. Its benefits are relative to your participation, similar to that of a physician who prescribes medication/treatment; it works if you use it. In this regard, as a hypnosis practitioner, 1) I do not diagnose, treat or cure disease, 2) I do not assess or evaluate medical information, 3) I will determine if I feel comfortable working with your specific issues and if not, I will refer to you to another professional. Hypnosis is not guaranteed, and there are no refunds. All policies apply in all cases.

Payment: Payment is due prior to the beginning of each session. Group sessions are also payable in advance, as discussed and agreed upon together with client and practitioner Tamelynda Lux.

Payment Types Accepted: Payment via secure online Square.

Cancellation Policy: Should you cancel your appointment less than 48 hours (48-hour Cancellation Policy) in advance or do not show up or miss your appointment, your fee paid will be forfeited. The session fee is non-refundable. Payment is required to reserve a session date and time. If you need to cancel your appointment, please call or text Tamelynda at 519-670-5219.

Late Arrivals and No Shows: My time is valuable, and so is yours. If you are late for your appointment, you lose that time. If you do not show up for your appointment, you will still be charged in full. 15-minute Policy: If you are 15 minutes late, it is considered a "no show," and the 48-hour Cancellation Policy will apply. The session fee will be forfeited.

Rescheduling: You may reschedule an appointment one time if you do it no less than 48-hours before your next appointment. You may only reschedule the same appointment one time. If you need to reschedule the appointment, you will be required to pay for that appointment.

Refunds: When you purchaes a session or package of time with me, I commit to having enough time available to work with you. This affects how many clients I am able to accept. For that reason, I do not offer refunds. If you want to be sure that my style is right for you, I recommend scheduling one session to start. When you purchase a package and don't use all of the sessions, you may transfer them to a friend or relative. There is a $50 new client fee paid by the person receiving your unused session/s.

Insurance Billing: I do not bill or make contact with insurance companies for services. Some insurance companies may reimburse you for services, but it is unlikely (as of 2022). Check with your insurance company or policy for additional details. It is suggested you think of these services as something that you will pay for personally. That will both protect your privacy and help you value the work you are doing more. Health insurance companies - check your insurance policy for coverage, which you may find under "mindfulness" or "meditation"; please check your policy and advise of any specific wording for your invoice/receipt. If my services are not covered by your insurance program, I can provide you a receipt for possible reimbursement under a Health Savings Account (HAS) (refer to the next paragraph). I do not guarantee coverage for my services. Employers - your employer may have a Health Savings Account (HSA) or Professional Development/Education budget from which you may be able to obtain reimbursement; please check and advise of any specific wording for your invoice/receipt. I do not guarantee coverage for my services. Self-employment - while I do not guarantee the deduction, if you are self-employed, you may be able to deduct the session fee as a business expense; please advise of any specific wording for your invoice/receipt. I do not guarantee coverage for my services.

If none of the above offers coverage, you are encouraged to think of my services as something that you will pay for personally. Payment made personally will both help protect your privacy and help you value the work you are doing more. 

Disclosure Statement

Tamelynda Lux, StepStone Hypnosis & Hypnotherapy, Lux & Associates (est. 1988)

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If you have any questions or complaints about your session therapy, you agree to talk to Tamelynda Lux about them first. If you have a complaint about her services or behavior that Tamelynda Lux cannot resolve for you, you may contact the ICBCH at https://HypnotherapyBoard.com/. If the situation can't be resolved satisfactorily, you then have access to the formal complaints procedure of the National Guild of Hypnotists.

These services provided are non-diagnostic and do not include the practice of medicine, psychology, or any other licensed healing art.

As the Client, you understand and acknowledge that hypnosis is really self-hypnosis, and you will be in full control during the entire session; any results are dependent upon you. You understand that hypnosis and/or hypnotherapy can be very effective; however, the outcome depends greatly on the Client being motivated and committed to change.

This appointment does not take the place of medical advice and assistance. This appointment does not take the place of medical advice and assistance. Results can vary from person to person, and as such, success cannot be guaranteed.

I hereby acknowledge that I have been provided with the above information and that I received and read this Client Bill of Rights and understand fully and completely what I have read and the information provided.

c 2022 Lux & Associates I Tamelynda Lux I StepStone Hypnosis & Hypnotherapy