

South Central
Hypnosis
Policy and Procedures
As the Client, we ask that you acknowledge that you, the Client, has been informed of the following information:
Hypnotist/Hypnotherapist of South Central Hypnosis, LLC, agrees to provide professional services in accordance with acquired training and experience giving undivided attention during scheduled consultations to facilitate Client's benefits. The work in this non-clinical practice is Client-centered. Services provided utilize induction of hypnosis, and methods and principles used to help clients discover their inner creative abilities, to develop positive thinking and feeling, and to transform undesirable habits and behavior patterns. Client maybe taught the use of self-hypnotic techniques to assist in achieving goals and resolving issues that have been mutually agreed upon by Client and the
The Hypnosis is not a state of sleep, but is a natural state of mind that can produce extraordinary levels of relaxation of mind, body and emotions. The principles and theories upon which hypnotherapy is based are accessing and utilizing the power of one's inner resources. Hypnosis can transcend the critical, analytical level of mind, and facilitate the acceptance of suggestions, directions and instructions desired by the Client. The therapeutic use of hypnosis can also elicit information and insights from
inner mind.
The Hypnotist may utilize interviews, discussion and hypnotic methods dealing with underlying issues whenever appropriate, with the goal of achieving effective and lasting results. Services to be provided do not include the practice of medicine, as the Hypnotist has a degree in psychology, and specific training in techniques of hypnosis/hypnotherapy from Marisa Peers Hypnotherapy RTT.
Hypnotist/hypnotherapist is Board Certified as a Hypnotherapist by the International Association of Counselors and Therapists, but does not have a medical degree and is not medical doctor. The Hypnosis services are non-diagnostic and are complementary to the healing arts services that are licensed by the state.
If you prefer not to fill out this form online and have it directly sent to South Central Hypnosis, or are unable to complete the form,
you can print this form and bring it in to your session. Thank you.