Waiver & Consent

Liability:
 

I hereby release Wendy Lee-Chu from any liability or claims that could be made against her concerning my mental and/or physical well being during the work that has been outlined and agreed upon, now and in the future, by filling out this form.

 

 

Scope of Practice:

 

I Understand that Wendy Lee-Chu is not a licensed physician, psychologist, or medical practitioner of any kind and that hypnosis should not be considered a replacement for the advice and/or services, of a psychiatrist, psychologist, psychotherapist, or doctor.

 

 

Participation:

 

I give Wendy Lee-Chu full permission to hypnotize me and to use Rapid Transformational Therapy®  knowing that by participating fully in the process and by listening to my personalized recording for 21days I play an important role in my overall success.

 

 

Scope of Practice:

 

I understand that Wendy Lee-Chu is not a licensed physician, psychologist, or medical practitioner of any kind and that hypnosis should not be considered a replacement for the advice and/or services, of a psychiatrist, psychologist, psychotherapist, or doctor.

 

 

Guarantee:

 

I understand that although Rapid Transformational Therapy®  has an incredibly high success rate, Wendy Lee-Chu cannot and does not guarantee results since my own personal success depends on factors that Wendy Lee-Chu has no control over, including my willingness and desire to affect the changes inside of myself.

 

Deepening Process:

 

I hereby grant permission to Wendy Lee-Chu to respectfully lift my arm, touch my shoulder, or rock my head during my Rapid Transformational Therapy® Session(s) in order to help facilitate the deepening process.

 

 

Audio Recording(s):

 

I give Wendy Lee-Chu full permission to make audio recordings that may include my voice. I understand that if a recording (or recordings) are made during or after my session(s) Wendy Lee-Chu retains full copyright over any forms of media that may be produced and distributed to me.

 

Confidentiality:

 

By purchasing Rapid Transformational Therapy® (RTT®) & Hypnotherapy Session(s), I consent that Wendy Lee-Chu may release information to a specific individual or agency if it has been determined that a child or elder is at risk of or is currently being abused; if I, as a client, am in imminent danger to myself or others; or if a subpoena of records has been requested.

I also understand that, at any time, Wendy Lee-Chu may discuss aspects of my case with other colleagues keeping my full name and identity confidential unless I have given permission otherwise.