Upon signing up you will be placed on Courtney's email list. Please be sure to stay "Subscribed" since she sends very few emails (2-3 per week). Be sure to safelist [email protected] as well as [email protected] since the helpful emails include hypnosis resources as well as reminders for sessions/events you've signed up for (plus, our email responses answering any questions you've sent via email). 😊
Consent for Hypnosis
By signing up for this hypnosis program, I am consenting to participating in the process of hypnosis, with Courtney D. Starkey, M.Ed., MHt of Pay It Forward Hypnosis, LLC. I understand that hypnosis can involve the use of techniques such as progressive relaxation, meditation, guided imagery, as well as other helpful methods. As a part of hypnosis, clients are encouraged to recall events, circumstances, behaviors, thoughts, and feelings from prior situations in their life experience. I understand that clients vary greatly in their response to the relaxation and hypnotic process, with some clients experiencing powerful images and recollections, and others having more subtle experiences. Additionally, I am aware that the images and recollections experienced during hypnosis may be a combination of real, imagined, and/or modified memories. I also understand that certain memories and images experienced during hypnosis may represent challenging events which can invoke emotional reactions. These emotionally charged images are often quite useful for facilitating insight and understanding; however, such powerful experiences can nonetheless be emotionally challenging.
My registration, signifies that I have reviewed the above paragraphs, understand the principal characteristics of hypnosis, and agree to participate in this procedure. Furthermore, I understand that if at any time I become uncomfortable and/or unwilling to proceed with the hypnosis process, that I can stop the process by opening my eyes, taking energizing breaths, and having a glass of water to ground myself back in the present day and time. In the rare instance that this should happen, I know that I can send love to the situation and release the challenging feelings.
Release of Liability
I understand that Courtney D. Starkey, M.Ed., MHt has her Master's Degree in Education and is a Master Hypnotherapist (MHt), and that she is not a medical doctor (physician, psychiatrist, psychologist, etc.) and makes no claim to diagnose or offer treatment of disease. I understand that hypnosis is not a replacement for medical treatment, psychological/psychiatric services, or counseling. I also understand that Courtney does not treat or diagnose any condition and that she is a facilitator of hypnosis.
I understand that, while Courtney has my best interests in mind, I am responsible for my own well-being and decision making. I also understand that I am responsible for my own interpretations of and reactions to the information presented to me. I understand that the experience of hypnosis is meant to present information that may contribute to mind, body, and spiritual balance and that Courtney is not responsible or liable for the information I receive while under hypnosis. I also understand that Courtney is not responsible my interpretations of the information or the decisions I make based on the information. I understand that I am responsible for my own judgment and that all participation, interpretations, and decisions are my own.
I understand there are some conditions for which hypnosis is not a good fit and should not be utilized by the client. These conditions include (and are not limited to): Schizophrenia, pathological personalities, psychosis (including substance induced), senility, dementia, brain trauma, cognitive deficiencies, epilepsy, narcolepsy, bi-polar, clinical depression, suicidal tendencies, serious heart conditions, extremely high/low blood pressure, elderly/frail, substance abuse, and/or currently taking medications/substances that cause drowsiness. I understand that if I am, in any way, unsure if hypnosis would be a good fit for me, that it is best to consult my medical doctor prior to participating in hypnosis. Also, if pregnant (especially in the first or second trimester), I will also consult my medical doctor prior to participating in hypnosis.
I understand that by continuing with the course, I am accepting full responsibility for monitoring my health. Should any of the aforementioned conditions present themselves in the future, I understand and agree that I shall not participate in any future hypnosis experiences without first consulting with and receiving expressed consent from my health care provider.
I also understand that I should never watch and/or listen to hypnosis recordings while in the car (even if I believe the driver cannot hear/see the content). It is far too relaxing to maintain safe driving practices.
I have read and understand the above "Consent for Hypnosis" and "Release of Liability" agreements, and by my continuing participation, I consent to these agreements.
There are no refunds. For a very good reason. :)
Hypnosis can produce amazing and highly valuable results when practiced consistently. This is such a wonderful opportunity for you to enhance your well-being through your consistent hypnosis practice.
Commit to yourself and to your self-advancement.
You are about to embark on an amazing journey. :)