top of page

Client terms of Agreement

Hypnosis Client Agreement

Services Provided:

The Hypnotherapist agrees to provide hypnosis services to assist the Client in achieving their stated goals. These services may include but are not limited to hypnotherapy sessions, guided imagery, relaxation techniques, and other related methods deemed appropriate by the Hypnotherapist.

Client Responsibilities:

The Client agrees to:

  1. Be punctual for scheduled appointments and provide at least 24 hours' notice for any cancellations or rescheduling.

  2. Be honest and forthcoming regarding their medical history, mental health, and any medications or substances they are currently using.

  3. Follow any instructions or recommendations provided by the Hypnotherapist to enhance the effectiveness of the sessions.

  4. Understand that hypnosis is a cooperative process and success depends on the Client's willingness to engage fully in the process.



All information disclosed by the Client during hypnosis sessions will be kept strictly confidential by the Hypnotherapist, except as required by law or with the Client's written consent.

Fees and Payment:

The Client agrees to pay the Hypnotherapist the agreed-upon fee for each session, payable at the time of service. Payment may be made by cash, check, or [other accepted payment methods]. Fees for missed appointments or cancellations made with less than 24 hours' notice may still apply.

Scope of Practice:

The Client understands that hypnosis is not a substitute for medical or psychological treatment and should not be used as such. The Hypnotherapist does not diagnose, treat, or cure any medical or psychological conditions and recommends that the Client consult with qualified healthcare professionals for any such concerns.

Hypnosis Client Release Form


I hereby acknowledge that I am voluntarily participating in hypnosis sessions with In Harmony Hypnosis for the purpose of achieving personal goals and self-improvement. I understand that hypnosis involves a state of deep relaxation and heightened focus, and I am aware of the following:

  1. Nature of Hypnosis: I understand that hypnosis is a natural state of consciousness characterized by focused attention, suggestibility, and relaxation. I acknowledge that I am always in control during hypnosis and can choose to terminate the session at any time.

  2. Purpose of Sessions: I am seeking hypnosis services to address personal issues, improve habits, or achieve specific goals, as discussed with the Hypnotherapist.

  3. Non-Medical Treatment: I understand that hypnosis is not a medical or psychological treatment and does not diagnose, treat, or cure any medical or psychological conditions. I acknowledge that it is not a substitute for professional medical or psychological care.

  4. Confidentiality: I understand that all information disclosed during hypnosis sessions is confidential and will not be shared with any third parties without my consent, except as required by law.

  5. Risks and Benefits: I acknowledge that while hypnosis is generally safe and beneficial, individual results may vary. I understand that the effectiveness of hypnosis depends on factors such as my willingness to participate and the skill of the Hypnotherapist.

  6. Responsibility: I take full responsibility for my own well-being and understand that the Hypnotherapist is not liable for any consequences resulting from my participation in hypnosis sessions.


By signing below, I certify that I have read and understand the terms of this release form, and I voluntarily consent to participate in hypnosis sessions withIn Harmony Hypnosis.

Client Questionnaire


Please fill out the following form to help us understand your physical condition.

Have you been hospitalized in the last 12 months?
Are you currently suffering from a medical condition, illness, or injury?

Thanks for submitting!

bottom of page