
Waiver, Informed Consent, and Liability Release Agreement for Ikigai Hypnosis and Coaching Services
1. Description of Services and Scope of Practice
The services provided by Ikigai Hypnosis and Coaching are for personal growth, self-improvement, education, and coaching purposes only. The practitioner [ Gail Wise ] uses techniques such as hypnosis, Neuro-Linguistic Programming (NLP), and coaching, tapping methodologies to help clients achieve their desired goals.
Important Disclaimer:
1. The services provided are not a substitute for medical or psychological diagnosis, treatment, or therapy. The practitioner is not a licensed physician, psychiatrist, psychologist, or medical professional unless specifically stated otherwise, and is not qualified to diagnose, treat, cure, or prevent any disease or medical condition.
2. Client Responsibility and Acknowledgment
• Medical Conditions: I, the client, understand that if I am currently under the care of a medical or mental health professional, I must inform my primary care provider about my decision to participate in hypnosis and coaching sessions. I agree to continue with any existing medical or therapeutic treatments and consultations as prescribed.
• Voluntary Participation: I understand that my participation is entirely voluntary and I can terminate a session at any time.
• Assumption of Risk: I acknowledge that engaging in self-improvement and coaching activities may involve emotional processes that could bring up past experiences or uncomfortable feelings. I voluntarily assume all potential risks associated with the services.
• Personal Decisions: I understand that I am solely responsible for my own choices, actions, and well-being during and after the sessions. The practitioner makes no guarantees regarding the outcome of the services provided.
*Guarantees: We do not guarantee any specific results, either explicitly or implicitly. The effectiveness of our process can vary significantly from one individual to another. Even individuals who are highly susceptible to hypnosis, NLP, or tapping may not experience benefits. Additionally, a single session may not lead to lasting changes. Often, a person needs to participate in a series of sessions to reinforce the constructive suggestions provided.
3. Release of Liability: I hereby release, waive, discharge, and covenant not to sue [Ikigai Hypnosis and Coaching / Gail Wise], its agents, and employees, from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or any loss or damage to property owned by me, whether caused by the negligence of the practitioner or otherwise, while participating in any services provided.
4. Confidentiality: All information shared during sessions will be held in strict confidence, except for the following legal and ethical exceptions:
• If there is a clear and imminent danger of harm to myself or others.
• If there is suspicion of child or elder abuse or neglect.
• If ordered by a court of law via a valid subpoena.