Lisa Brabo, CEO
Light of Change
[email protected]

Los Angeles, California
310-339-8525
 

     
HYPNOTHERAPY DISCLOSURE FORM
Waiver of Liability
By their signature, the below named participant voluntarily agrees to be a participant in a spiritual counseling / hypnosis session and accepts full responsibility for any and all injury arising from the spiritual counseling / hypnosis session. The participant shall hold harmless all parties involved in the spiritual counseling/hypnosis session, including representatives of Light of Change.
     
Disclaimer
Representatives of Light of Change are not medical doctors. At no time will they attempt to provide medical care. The participant affirms that hypnotherapy is appropriate for them and does not conflict with existing medical or psychiatric treatment. Always follow the advice of your doctor or other professional medical practitioner.
     
Warranty
No warranty is given, expressed or implied, for satisfactory results from the spiritual counseling / hypnosis session.
     
Tape Recording
All personal services can be tape recorded, at no charge, as a free service to the participant. We do not guarantee that the tape will be audible, fully intact or usable. We will not be responsible for nor issue refunds for defective or damaged tapes.
     
Methods Used
Representatives of Light of Change employ spiritual guidance, spiritual counseling and hypnosis techniques to facilitate the participant's quest for self- improvement. Specific techniques may include: Spiritual Philosophy, Body Relaxation, Directed Meditation, Regression, Behavior Modification, and Psychic Insight.
     
Training and Education
Lisa Brabo is a Certified Hypnotherapist. Dr. Brabo has a Doctorate in Public Policy, a Master's degree in Public Administration, and a Bachelor's degree in Sociology.
    
     
Signature of Participant
     
  Name (Print)  
  Signature  
  Date  
 
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