The purpose of this informed consent form is to explain my intent as well as what you can expect from hypnotherapy sessions with me. I utilize a combination of mind-body methods to promote deep relaxation and help achieve your therapeutic goals. These methods include but are not limited to clinical hypnosis, meditation, relaxation training, behavioral modifications, psychotherapy, and bio-energy field healing techniques. The sessions are designed for you, the client, to be grounded in the body, letting go of stress patterns in the conscious or subconscious mind which are not conducive to optimal well-being, and allow access to your innate resource, wisdom, and natural healing potential.
I strive to provide a high-quality service by consistently improving my methodologies through the latest developments in mind-body science, and by being fully present, compassionate, and supportive to you.
Most people begin to see benefits from these sessions after the very first visit and see significant improvement or reach their goals after multiple sessions. However, while we are partnered on this journey together, you must take responsibility for your progress and stay as committed to your transformation as I am to your progress in order for this to work fully.
*Please be assured that any information shared during our sessions are kept strictly confidential.
Scheduling and Payment
Please arrive for each session on time as scheduled. If you need to reschedule or cancel the appointment, three business days advance notice is required, so the time slot can be reserved for another client. For any last minute change or cancellation, I will provide distant healing at which a full session fee applies.
Payment is expected in full at the time of rendered service, and we accept cash, checks, and Zelle payments. Credit cards are subject to an additional $5 of processing fee.
I acknowledge that all information that I have given on the Confidential Client Intake Form (including my known medical conditions) is complete and accurate to the best of my knowledge. I also understand that clinical hypnosis, guided imagery, relaxation and bio-energy healing techniques are not substitutes for medical diagnosis and/or treatment. I understand that Jessica Lin does not diagnose conditions or prescribe drugs, nor does she interfere with the treatment provided by a licensed medical professional. It is my responsibility to seek the care of a licensed healthcare professional for any physical or psychological ailment that I may have. I also understand the nature of Jessica Lin’s services and freely elect to receive those services.
I understand that if I am a minor (under the age of 18,) the consent of a parent or guardian is required. The parent or guardian has the option to attend part of the treatment sessions.
Therefore, except in the case of gross negligence or malpractice, I or my representative(s) agree to fully release and hold harmless Jessica C. Lin from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my sessions.
I am fully aware that self-care is an integral part of my improvement and I am committed to finding the time to do certain relaxation exercises, as they are taught to me with the recommended frequencies, in order to achieve maximum progress. I also understand that it may take several sessions to produce good and long-lasting results.
Copyright © 2023 Jessica Lin Counseling & Hypnotherapy - All rights reserved