My Example

Copy Of Client Bill Of Rights

Contact Information: Name: Mahesha Gunathilake. I can be contacted through email – [email protected] All sessions are conducted via skype unless otherwise informed and agreed upon prior to appointment. Skype information will be provided at the time of scheduling.

Education and Training: I was trained in hypnotism at  Tribeca Hypnosis & Healing Institute in New York City. I was  certified by the National Guild of Hypnotists. The National Guild of Hypnotists is the oldest and largest hypnotism organization in the world and its certification is the most widely recognized credential for the professional practice of the hypnotic arts.

Current title: Certified Hypnotist, certified by National Guild of Hypnotist.

Hypnosis related educational background: Masters Hypnosis Certification, Pain Relief Education Certification, Past Life Regression Certification, Quantum Focusing Educator, Certificate of Specialty in Mind Body Approaches to Pain Relief by the International Medical And Dental Hypnotherapy Association

Other degrees & qualifications: Diploma in Psychology, Wigan Leigh College UK extended campus Sri Lanka. Bachelor of Science in Business Administration, State University of New York, New York. Master of Professional Studies in Fashion Merchandising & Retail Management, New York.

Notice: AS THE STATE OF Indiana HAS NOT ADOPTED EDUCATIONAL AND TRAINING STANDARDS FOR THE PRACTICE OF HYPNOTISM, THIS STATEMENT OF CREDENTIALS IS FOR INFORMATIONAL PURPOSES ONLY. Hypnotism is a self-regulating profession and its practitioners are not licensed by state governments. I am not a physician nor a licensed health care provider and may not provide a medical diagnosis nor recommend discontinuance of medically prescribed treatments. If a client desires a diagnosis or any other type of treatment from a different practitioner, the client may seek such services at any time. In the event my services are terminated by a client, the client has a right to coordinated transfer of services to another practitioner. A client has a right to refuse hypnotism services at any time. A client has a right to be free of physical, verbal or sexual abuse. A client has a right to know the expected duration of sessions, and may assert any right without retaliation.

Redress: I was  certified by the National Guild of Hypnotists. I practice in accordance with its Code of Ethics and Standards by choice in order to provide the highest quality of service.

Fees: The charge for my services are $499 per single session and $1999 for full programs with 3-4 sessions with added bonuses (please refer to Private Sessions offerings for what is covered as bonuses with each program). If you are using a discount or special promotional price, advertised price will be honored at the point of scheduling an appointment with a discount code.  You will be given 30 day notice of any change in fees. Cancellation policy is 48 hours prior to scheduled time. If you notice before 48 hours, a full refund of the payment will be made. Cancellations of 24 hours and prior will honor a 50% refund and if the cancellation was made less than 24 hours before the appointment, a full payment is required.

Confidentiality: I will not release any information to anyone without a written authorization from you, except as provided for by law. You have a right to be allowed access to my written record about you.

Insurance: I suggest you think of my services as something that you will pay for personally. That will both protect your privacy and help you value the work you are doing more. In general, insurance companies do not like to cover hypnotic services, and I caution you not to expect them to do so.

My Approach: Prior to the session, I will release a questionnaire to understand the needs and goals of client. During the session the client will be inducted in to a self-hypnotic state.  Suggestions will be given to achieve pre discussed goals. Post session, I will provide with a self-empowerment recording as further support.