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Hypnotherapy Waiver & Client Agreement

Dear Client Thank you for choosing to work with me.

I kindly ask you to sign this waiver, and in return, I give you this promise:

I will meet you with compassion, listen without judgment, and dedicate my full heart and expertise to guiding you toward the transformation you seek. This is your journey, your safe space, and I am here to support you every step of the way.

With warmth,
Kristin

HYPNOSIS INFORMED CONSENT & LIABILITY WAIVER

Please read the following carefully and sign below. If anything feels unclear, you are always welcome to ask questions before you sign.

1. Client Information

Full Legal Name

Email

Mobile Phone Number

How did you hear about Transformation To The Core?

2. Nature of Hypnotherapy

Hypnotherapy is a complementary, yet powerful, wellness practice, not a replacement for medical or psychological treatment.

Hypnotherapy does not diagnose, treat, or cure any medical or mental health condition.

Your hypnotherapist is a certified hypnotherapist and psychologist, but not a medical doctor, therapist under the American law or psychiatrist.

You are responsible for your own physical and mental well-being and agree to consult a physician, therapist, or psychiatrist if needed.

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I have read and understand the information about the nature and limits of hypnotherapy.

3. Participation & Responsibility

Hypnosis is not mind control—you remain aware and in charge throughout the session.

Results can vary and depend on your readiness, openness, and participation.

You are responsible for how you integrate and apply what you experience and learn in your daily life.

You agree to let me know at any time if you feel uncomfortable, overwhelmed, or wish to pause or stop the session.

I understand that I am an active participant in this process and remain in charge at all times.

4. CONFIDENTIALITY

What you share in our sessions is treated as confidential within the limits of the law.

Information may be disclosed only if:

- There is a risk of harm to yourself or others,

- There is suspected abuse of a child, elderly person, or vulnerable adult,

- Records are requested by court order, or

- You give written permission to share information with another provider.

Brief notes may be kept for professional and record-keeping purposes.

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I understand how my information is kept confidential and the situations where it may be disclosed.

5. INFORMED CONSENT & SAFETY

Hypnotherapy is a gentle but powerful process, and it’s important that we make sure it is safe and supportive for you.

Please answer the questions below honestly. A “Yes” does automatically exclude you from hypnosis – it simply means I may ask a few more questions or adapt the session (or occasionally recommend medical/therapeutic clearance) to make sure everything we do is right for you.

Have you ever been diagnosed with epilepsy or a seizure disorder?

Yes

Are you currently under the care of a psychiatrist, psychologist, or therapist?

Yes

Are you currently taking medication for mental health or mood?

Yes

I confirm that I am participating voluntarily, have answered these questions truthfully to the best of my knowledge, and understand that this information helps my hypnotherapist keep the session safe and supportive for me.

6. Online Sessions

(If your session is online, for example via Zoom or a similar platform:)

You agree to join the session from a quiet, private space where you will not be disturbed.

You will not participate while driving, walking, or operating machinery.

You understand that technical issues (internet, audio, video) may occasionally interrupt the session and we will do our best to reconnect or reschedule if needed.

I understand and agree to the conditions for online hypnotherapy sessions.

7. RECORDINGS & MATERIALS

You may receive a personal hypnosis recording or other materials to support your process.

You agree to use the recording for personal use only and not share, publish, or distribute it.

You agree not to listen to hypnosis recordings while driving, operating machinery, or doing any activity that requires your full attention.

I understand how to safely use hypnosis recordings and agree not to listen while driving or operating machinery.

8. FEES, CANCELLATIONS & POLICIES

You understand the fee for your hypnotherapy session(s) has been explained to you in advance (and can be found in our Booking & Cancellation Policy).

Payment is due before or at the time of the session, unless we have agreed otherwise.

You agree to provide at least 24 hours’ notice if you need to cancel or reschedule.

Late cancellations or no-shows may be charged up to the full session fee.

I understand and agree to the fee and cancellation policies.

8. LIABILITY WAIVER

I release Transformation To The Core / The Happy Core™ (To The Core Consulting LLC), its owner, employees, and affiliates from any and all claims, demands, or liability arising from or related to my participation in hypnotherapy sessions, to the fullest extent permitted by law.

I understand that this release does not apply in cases of gross negligence or willful misconduct by the practitioner, as defined by applicable law.

I assume full responsibility for my well-being, decisions, and outcomes before, during, and after the session(s).

I understand that no specific result is guaranteed.

I have read and understand the liability waiver and agree to these terms.

Consent & Signature

I confirm that all information I have provided is true to the best of my knowledge, and I voluntarily consent to hypnotherapy with Transformation To The Core.

Signature