Session Preparation & Consent
Before your session, please take a few moments to review the Informed Consent & Release of Liability below and complete the form that follows. This helps create a safe, supportive, and intentional space for our work together.
Patrick Markert Hypnotherapy
Salem, Oregon
patrickmarkert.hypnotherapy@gmail.com
patrickmarkert.com
Informed Consent
I understand that hypnotherapy is a collaborative process intended to support personal growth, relaxation, behavioral change, emotional insight, stress reduction, and overall well-being.
I acknowledge and understand the following:
Hypnotherapy is not a substitute for medical care, psychological counseling, psychotherapy, psychiatric treatment, or diagnosis.
Patrick Markert is not acting as a licensed physician, psychologist, psychiatrist, or mental health counselor unless otherwise stated.
I understand that results from hypnotherapy may vary from person to person, and no guarantees or promises of specific outcomes have been made.
I understand that hypnosis is a natural and voluntary state of focused awareness, and that I remain aware and in control throughout the session.
I understand that I may stop the session at any time for any reason.
I acknowledge that emotional material, memories, sensations, or insights may arise during hypnosis sessions. While hypnotherapy is generally considered safe, emotional discomfort or temporary emotional intensity may occasionally occur.
I understand that past-life regression, spiritual exploration, intuitive imagery, inner-child work, Higher Self exploration, shamanic-style journeying, or other transpersonal techniques are experiential and subjective in nature and are not presented as factual, medical, legal, or historical truth.
I agree to inform Patrick Markert of any relevant medical, psychological, or psychiatric conditions, including diagnoses, medications, history of seizures, dissociative disorders, psychosis, schizophrenia, PTSD, or other conditions that could impact participation in hypnosis.
I understand that sessions are confidential except where disclosure may be required by law, including situations involving risk of harm to self or others, abuse reporting requirements, or court order.
I understand that hypnotherapy sessions should not be attended while under the influence of alcohol or recreational drugs.
If participating remotely via Zoom or phone, I acknowledge that I am responsible for ensuring I am in a safe, quiet, private environment where I will not be driving or operating machinery during the session.
Release of Liability
By signing below, I voluntarily consent to participate in hypnotherapy services provided by Patrick Markert.
I hereby release and hold harmless Patrick Markert and Patrick Markert Hypnotherapy from any and all claims, liabilities, damages, losses, or injuries arising from my participation in hypnotherapy sessions, except in cases of gross negligence or unlawful conduct.
I acknowledge that I am voluntarily participating in these services and accept full responsibility for my own physical, emotional, and mental well-being during and after sessions.