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Exculpatory Clause?
As a precautionary measure, do any of you include an Exculpatory Clause in your client consent/intake forms? If so, what is your verbiage - a sample would be most appreciated.
Thank you!
Replies to This Discussion
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Permalink Reply by Graham Old on -
I don't put it quite like that, because I think it creates the wrong atmosphere at the beginning. However, I have wording like this:
I understand that results vary and that the above name practitioner may not guarantee results.
Hypnosis/Hypnotherapy is not a replacement for medical treatment, psychological or psychiatric services or counselling. I understand that the practitioner is a facilitator of hypnosis or hypnotherapy and is not a qualified Medical practitioner. I also understand that the Hypnotherapist does not prescribe for or diagnose any condition.
I think I stole that from someone else!
graham
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Permalink Reply by docregal.com on -
You might like to include verbiage like this where the client makes acknowledgments.
I understand and accept the terms of Nancy Last's practice and agree to participate in Nancy Last's office procedures as posted online at www.Nancy Last.com in order to accomplish my stated objectives. I understand that success with my session work and training depends significantly upon my desire and my ability to participate in the process of affecting the desired changes within myself. I am also aware that Nancy Last is practicing hypnotherapy and not practicing medicine, psychotherapy or counseling and that she will do everything in her power to ensure my success.
Name ___________________________________________
Signature _________________________________________
Today’s Date _______________________________________
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Permalink Reply by Michael Ellner on -
Hi Nancy-
This works for me:
I understand that this consultation is not meant to diagnose or treat any disease, but rather, it is intended to provide information and education that will promote feeling better, healing faster and generally being more effective. It is designed to give me insight and tools into my innate healing potential and guide me into being more effective in helping myself.
I also realize that this consultation is not a substitute for conventional medicine and have been encouraged to seek the advice of a licensed health care provider should I choose to with regard to treating me for specific medical or psychological problems
Client's signature________________________________________________________ Date: _________________________
Michael E. @ http://www.nycanxietyhypnosis.com
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Permalink Reply by Scott Sandland on -
In California something along those lines is required by law for all hypnotists who don't have a mental health license (psych, counselor, etc).
It's actually a more specific disclaimer that we all have to use.
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Permalink Reply by docregal.com on
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Scott, I am curious to know what specific disclaimer this is. Please post that text. Thanks.
Scott Sandland, C.Ht. said:
In California something along those lines is required by law for all hypnotists who don't have a mental health license (psych, counselor, etc).
It's actually a more specific disclaimer that we all have to use.
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Permalink Reply by Melissa J. Roth on
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Colorado also requires an extensive disclaimer of ALL mental health professionals, not just hypnotherapists.
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Permalink Reply by Roger Moore on -
Washington requires a Disclaimer too
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Permalink Reply by docregal.com on
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Well then, is there any specific wording required, Melissa and Roger. Inquisitive minds want to know. ;-)
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