Before completing this form, please read carefully:

By submitting this intake form, you acknowledge and agree that your RTT® / hypnosis session is a complementary, educational, and self-developmental service, not a substitute for medical, psychological, or psychiatric diagnosis or treatment.

You understand that the practitioner is not a medical doctor, psychologist, or psychiatrist, and therefore does not provide medical or mental-health advice, diagnoses, prescriptions, or guarantees of specific outcomes.

You take full responsibility for your physical and emotional well-being before, during, and after the session, and you agree to inform your practitioner of any relevant medical or psychological conditions prior to the session.

You understand that results vary for each individual and depend on your own participation and commitment to the process.

All information shared in this form and during your session is strictly confidential and will not be disclosed to anyone without your written consent, except where required by law (e.g., risk of harm to self or others, abuse, or court order).

By continuing, you consent to receive RTT® / hypnosis services from the practitioner and agree to these terms and conditions.