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Step 2 - Consent to Treat Form

Thank you for choosing to begin this journey of healing and transformation with me. Before we begin our work together, please take a moment to review and acknowledge the following:

Scope of Treatment

Our sessions will include Rapid Transformational Therapy (RTT) — a powerful blend of hypnotherapy, coaching, and transformational dialogue designed to uncover and release subconscious blocks and limiting beliefs. This work supports growth and healing in areas such as confidence, anxiety, relationships, stress, weight management, and overall well-being.

 

  • Payment Terms

Payment is due upon receiving your invoice — either per session or for the full treatment plan, as discussed during your consultation.

 

  • Confidentiality

Everything shared during your sessions is held in complete confidence. Your privacy and trust are deeply valued, and all information will be protected in accordance with ethical and legal standards. Please feel free to ask questions at any time — I am here to support you fully.

  • Session Recording and Consent

Each session may be recorded to create a personalized transformation audio, designed to reinforce the positive changes we activate together. By signing this form, you consent to being recorded and to receiving this audio, unless you prefer to opt out.

 

  • Right to Discontinue

You have the right to pause or discontinue treatment at any time. If you decide to end your sessions, you’ll receive a prorated refund for any unused appointments.

 

  • Health and Wellness Disclaimer

RTT is a complementary healing approach and is not a replacement for medical or psychological treatment. If you are currently under the care of a healthcare provider, please inform them and continue following their guidance alongside this work.

 

  • Client Responsibility

Your commitment and participation are essential to the success of this process. While RTT can be profoundly effective, results depend on your openness, consistency, and willingness to engage. Every person’s journey is unique, and outcomes may vary.

 

  • Sober and Present Participation

If you are in recovery from addiction or alcoholism, you must remain sober throughout our work together. RTT requires your full mental clarity and emotional presence to be effective. Your commitment to sobriety ensures that you can fully receive and integrate the transformation we create.

By signing this form, you acknowledge that you have read, understood, and agree to the terms of treatment outlined above.

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