DISCLAIMER FORM

Liability

I, (Client Name) hereby release Joanne Hopkins from any liability or claims that could be made against her concerning my mental and/or physical well-being during the work that has been outlined and agreed upon (now and in the future) by filling out this form.

Scope of Practice

I understand that Joanne Hopkins is not a licensed physician, psychologist, or medical practitioner of any kind and that hypnotherapy should not be considered a replacement for the advice and/or services, of a psychiatrist, psychologist, psychotherapist, or doctor.

Participation

I give Joanne Hopkins full permission to hypnotise me and to use Rapid Transformational Therapy® knowing that by participating fully in the process and by listening to my personalised recording for 21 days I play an important role in my overall success.

Guarantee

I understand that although Rapid Transformational Therapy® has an incredibly high success rate, Joanne Hopkins cannot and does not guarantee results since my own personal success depends on many factors that Joanne Hopkins has no control over, including my willingness and desire to affect the changes inside of myself.

Audio Recording(s)

I give Joanne Hopkins full permission to make audio recordings that may include my voice. I understand that if a recording (or recordings) are made during or after my session(s) Joanne Hopkins retains full copyright over any forms of media that may be produced and distributed to me.

Deepening Process

When in an in-person session I hereby grant permission to Joanne Hopkins to respectfully lift my arm, touch my shoulder, or rock my head during my Rapid Transformational session(s) in order to help facilitate the deepening process.

Confidentiality

By signing this form, I consent that Joanne Hopkins may release information to a specific individual or agency if it has been determined that a vulnerable person (child or elder) is at risk; if I, as a client, am in imminent danger to myself or others; or if a subpoena of records has been requested.

I also understand that, at any time, Joanne Hopkins may discuss aspects of my case with other colleagues keeping my full name and identity completely confidential always unless I have given permission otherwise.

Please Note: You add your name in the (Client Name) gap in the top paragraph, print, sign and send in an email to hello@healingmindswithjoanne.com or simply request a copy upon booking. 

Print Name.............................................................................................. 

Signed Name............................................................................................ 

Date...................................................................................................... 

Thank you for your understanding and cooperation. If you have any further questions please contact me.

hello@healingmindswithjoanne.com