1
Disclosure
2
Fees & Terms
3
Personal Record
4
Suggestibility

Form 1 of 4 — Disclosure of Services

Read the full disclosure below, then sign to acknowledge.

Brent A. Oyler CHt. (hereinafter referred to as "Hypnotherapist") is a Certified Hypnotherapist and is not a licensed physician, psychologist, or other licensed health care professional. Hypnotherapy is not the practice of medicine, psychology, or any other licensed health care profession and is not offered as a substitute for professional mental or physical health care.

The Hypnotherapist provides hypnotherapy services to support personal development and wellness goals. Sessions may address topics such as stress reduction, confidence building, habit change, goal setting, and other self-improvement areas.

Hypnotherapy is a complementary wellness service. Results may vary and are not guaranteed. The Hypnotherapist does not diagnose or treat medical or psychological conditions.

Clients are encouraged to continue working with licensed health care professionals for any medical or psychological needs. If you are currently under the care of a physician or mental health professional, please inform the Hypnotherapist prior to your session.

All information shared during sessions is kept strictly confidential, except as required by law.

By signing below, I acknowledge that I have read and understand this Disclosure of Services and agree to proceed with hypnotherapy sessions with full understanding of the nature of the services provided.

I have read and understand this disclosure of services.
Please check the acknowledgement box and sign both signature fields.