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    Client Info
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    Policies
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    Consent
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CLIENT SERVICE AGREEMENT & INFORMED CONSENT

Please review and complete this agreement before beginning your selected service package.
Fields marked with * are required.

1. CLIENT INFORMATION

EMERGENCY CONTACT
In case of emergency, please provide a trusted contact.

2. PACKAGE SELECTION & PAYMENT

Please select one service package.

The client is purchasing the selected session package, not individual sessions.

Payment for the selected package is due in full before services begin unless otherwise agreed in writing by Life Hypnotherapy.

Services will not begin until payment has been received or a written payment arrangement has been approved.

7. CONFIDENTIALITY

Information shared during sessions is confidential and will not be disclosed without your written permission, except where disclosure may be required by law, including but not limited to:
  • Imminent risk of harm to self or others
  • Suspected abuse or neglect of a minor or vulnerable adult
  • Court orders or legal proceedings

3. SCHEDULING POLICY

Sessions are provided by appointment only.
  • 3-Session Package — Expires 6 months from purchase date
  • 6-Session Package — Expires 12 months from purchase date
  • 11-Session Package — Expires 18 months from purchase date

4. CANCELLATION POLICY

A minimum of 24 hours' notice is required to cancel or reschedule an appointment.

Appointments cancelled with less than 24 hours' notice and missed appointments may be charged as a completed session and deducted from the client's remaining package balance.

Life Hypnotherapy reserves the right to terminate services or decline future appointments in cases of repeated missed appointments or late cancellations.

5. REFUND POLICY

Completed sessions are non-refundable.

Once services have begun, package purchases are non-refundable unless otherwise approved in writing by Life Hypnotherapy.

Unused sessions may not be transferred, redeemed for cash, or credited toward unrelated services unless approved in writing.

6. INFORMED CONSENT

8. CLIENT RESPONSIBILITIES

SERVICE PROVIDER

Life Hypnotherapy

Bethany Johnson

[email protected]

(678) 981-9088

9. ACKNOWLEDGMENT & SIGNATURE

By signing below, I acknowledge that I have read, understood, and voluntarily agree to the terms of this Client Service Agreement & Informed Consent.
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