Lynn C. Cox: Session Waiver Form

Liability

I hereby release Lynn Cox 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 ​Lynn Cox 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.

Epilepsy, Psychosis and Schizophrenia

I understand that ​RTT® and hypnosis are not recommended for people suffering from epilepsy, psychosis or schizophrenia. I confirm that I do not suffer from epilepsy, psychosis or schizophrenia and that I have not had a medical diagnosis of epilepsy, psychosis or schizophrenia.

Participation

I give Lynn Cox 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 21 days I play an important role in my overall success.

Guarantee

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

Audio Recording(s)

I understand that Lynn Cox makes audio recordings of the Induction and Transformation portion of a session and makes best efforts to ensure my voice is not contained within the recordings. If a recording (or recordings) are made during or after my session(s) ​Lynn Cox ​retains full copyright over any forms of media that may be produced and distributed to me.

Deepening Process (for in-person sessions)

I hereby grant permission to ​Lynn Cox to respectfully lift my arm, touch my shoulder, or rock my head during my session(s) in order to help facilitate the deepening process.

Confidentiality

I consent that ​Lynn Cox 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, ​Lynn Cox ​may discuss aspects of my case with other colleagues keeping my full name and identity completely confidential always unless I have given permission otherwise.