Terms and Conditions for Hypnosis, Hypnotherapy

I have been advised by Align Hypnosis, Inc. and I give my full consent to receiving hypnotherapy sessions from Align Hypnosis Inc. I understand that results vary and that the practitioner may not guarantee results. Hypnotherapy is not a replacement for medical treatment, psychological or psychiatric services or counseling. I also understand that Align Hypnosis Inc. does not treat, prescribe, or diagnose any condition. 

I agreed to pay the full amount at the time of scheduling.

Refund / Reschedule Policy:

All services are non-refundable.

If you need to reschedule, notification must be received at LEAST 24 business hours in advance. There will be no reimbursement (as you will have the opportunity to reschedule your session within a 30 day period). In order to reschedule, please contact the office at 413-758-1949. 

I understand that if I am 10 minutes LATE (without contacting the office) I will have to reschedule and will be assessed an additional session fee.

Weather Condition Policy:

I understand that if weather permits Align Hypnosis from providing my scheduled service, I will be offered a make up date for my session. Our main concern is the safety of our clients and our staff. 

No Show Policy:

I understand that if I do not show for my session, I forfeit my session and will NOT receive a refund for my missed session. 

If you give prior notice (see Rescheduling policy above) you will be given the opportunity to reschedule within a 30 day period. 

I understand that the practitioner is a facilitator of hypnosis or hypnotherapy and is not practicing any other profession that requires a license under the laws of the State of Massachusetts. 

I am aware and understand that in some cases it may be necessary for the practitioner to respectfully touch parts of my body such as my shoulder(s), arms, legs, forehead, etc. to assist me in relaxation. I give the practitioner permission and consent to do so to help me establish a beneficial state of hypnosis.

I have been advised that I am free to terminate any or all sessions at any time with no financial reimbursement. I have agreed to participate in each session to the best of my ability. 

I have accurately provided background information as requested by Align Hypnosis, Inc. I have provided all dietary restrictions and requests to Align Hypnosis prior to my first session. 

I understand that confidentiality regarding my sessions will be honored between my hypnotherapist and myself. This same confidentiality is respected when working with minors under the age of eighteen. 

If you would like to retain a copy of the terms and conditions, please hit the print button above.

I have been advised by Align Hypnosis, Inc. and I give my full consent to receiving hypnotherapy sessions from Align Hypnosis Inc. I understand that results vary and that the practitioner may not guarantee results. Hypnotherapy is not a replacement for medical treatment, psychological or psychiatric services or counseling. I also understand that Align Hypnosis Inc. does not treat, prescribe, or diagnose any condition. 

I agreed to pay the full amount at the time of scheduling.

Cancellation policy

Our cancellation policy is that all our services are non-refundable.

I understand any cancellation must be received at LEAST 24 business hours in advance for rescheduling, no reimbursement. (In order to reschedule, please contact the office at 413-758-1949). 

I understand that if I am 10 minutes LATE (without contacting the office) I will have to reschedule and will be assessed and additional session fee.

Weather Condition Policy:

I understand that if weather permits Align Hypnosis from providing my scheduled service, I will be offered a make up date for my session. Our main concern is the safety of our clients and our staff. 

No Show Policy:

I understand that if I do not show for my session (without contacting the office) I will have to reschedule and pay for the rescheduled session.

I understand that the practitioner is a facilitator of hypnosis or hypnotherapy and is not practicing any other profession that requires a license under the laws of the State of Massachusetts. 

I am aware and understand that in some cases it may be necessary for the practitioner to respectfully touch parts of my body such as my shoulder(s), arms, legs, forehead, etc. to assist me in relaxation. I give the practitioner permission and consent to do so to help me establish a beneficial state of hypnosis.

I have been advised that I am free to terminate any or all sessions at any time with no financial reimbursement. I have agreed to participate in each session to the best of my ability. 

I have accurately provided background information as requested by Align Hypnosis, Inc. I understand that confidentiality regarding my sessions will be honored between my hypnotherapist and myself. This same confidentiality is respected when working with minors under the age of eighteen. 

If you would like to retain a copy of the terms and conditions, please hit the print button above.

I have been advised by Align Hypnosis, Inc. and I give my full consent to receiving hypnotherapy sessions from Align Hypnosis Inc. I understand that results vary and that the practitioner may not guarantee results. Hypnotherapy is not a replacement for medical treatment, psychological or psychiatric services or counseling. I also understand that Align Hypnosis Inc. does not treat, prescribe, or diagnose any condition. 

I agreed to pay the full amount at the time of scheduling.

Cancellation policy

Our cancellation policy is that all our services are non-refundable.

I understand any cancellation must be received at LEAST 24 business hours in advance for rescheduling, no reimbursement. (In order to reschedule, please contact the office at 413-758-1949). 

I understand that if I am 10 minutes LATE (without contacting the office) I will have to reschedule and will be assessed and additional session fee.

Weather Condition Policy:

I understand that if weather permits Align Hypnosis from providing my scheduled service, I will be offered a make up date for my session. Our main concern is the safety of our clients and our staff. 

No Show Policy:

I understand that if I do not show for my session (without contacting the office) I will have to reschedule and pay for the rescheduled session.

I understand that the practitioner is a facilitator of hypnosis or hypnotherapy and is not practicing any other profession that requires a license under the laws of the State of Massachusetts. 

I am aware and understand that in some cases it may be necessary for the practitioner to respectfully touch parts of my body such as my shoulder(s), arms, legs, forehead, etc. to assist me in relaxation. I give the practitioner permission and consent to do so to help me establish a beneficial state of hypnosis.

I have been advised that I am free to terminate any or all sessions at any time with no financial reimbursement. I have agreed to participate in each session to the best of my ability. 

I have accurately provided background information as requested by Align Hypnosis, Inc. I understand that confidentiality regarding my sessions will be honored between my hypnotherapist and myself. This same confidentiality is respected when working with minors under the age of eighteen. 

If you would like to retain a copy of the terms and conditions, please hit the print button above.

I have been advised by Align Hypnosis, Inc. and I give my full consent to receiving hypnotherapy sessions from Align Hypnosis Inc. I understand that results vary and that the practitioner may not guarantee results. Hypnotherapy is not a replacement for medical treatment, psychological or psychiatric services or counseling. I also understand that Align Hypnosis Inc. does not treat, prescribe, or diagnose any condition. 

I agreed to pay the full amount at the time of scheduling.

Cancellation policy

Our cancellation policy is that all our services are non-refundable.

I understand any cancellation must be received at LEAST 24 business hours in advance for rescheduling, no reimbursement. (In order to reschedule, please contact the office at 413-758-1949). 

I understand that if I am 10 minutes LATE (without contacting the office) I will have to reschedule and will be assessed and additional session fee.

Weather Condition Policy:

I understand that if weather permits Align Hypnosis from providing my scheduled service, I will be offered a make up date for my session. Our main concern is the safety of our clients and our staff. 

No Show Policy:

I understand that if I do not show for my session (without contacting the office) I will have to reschedule and pay for the rescheduled session.

I understand that the practitioner is a facilitator of hypnosis or hypnotherapy and is not practicing any other profession that requires a license under the laws of the State of Massachusetts. 

I am aware and understand that in some cases it may be necessary for the practitioner to respectfully touch parts of my body such as my shoulder(s), arms, legs, forehead, etc. to assist me in relaxation. I give the practitioner permission and consent to do so to help me establish a beneficial state of hypnosis.

I have been advised that I am free to terminate any or all sessions at any time with no financial reimbursement. I have agreed to participate in each session to the best of my ability. 

I have accurately provided background information as requested by Align Hypnosis, Inc. I understand that confidentiality regarding my sessions will be honored between my hypnotherapist and myself. This same confidentiality is respected when working with minors under the age of eighteen. 

If you would like to retain a copy of the terms and conditions, please hit the print button above.

Full Name

Full name of Parent or Guardian