I hereby release Sherine Lovegrove from any liability or claims that could be made against them concerning my mental and /or physical well-being during the work that has been outlined and agreed upon (and in the future).
SCOPE OF PRACTISE
I understand that are not licensed physician or medical practitioners of any kind and that hypnosis should not be considered a replacement for the advice and/or service of a psychiatrist, psychologist, psychotherapist or doctor.
I give Sherine Lovegrove permission to use interactive visualisations, hypnosis and other rapid transformational therapies with me. I am aware that participating fully in the process i.e. by practising the tools and techniques given will play an important part in my overall success.
I understand that although the above therapeutic practices mentioned above have an incredibly success rate, Sherine cannot guarantee results since my own personal success depends on many factors that they have no control over, including my willingness and desire to affect the changes inside of myself.
I give Sherine Lovegrove the permission to make audio recordings that may include my voice. I understand that if a recording (or recordings) are made during or after our session(s) Sherine Lovegrove retains the full copyright over any forms of media that may be produced and distributed to me.
By submitting this form I consent to Sherine Lovegrove may release information to a specific individual or agency if it has been determined that a child or elder is at risk or is currently being abused; if I, as a client am in imminent danger to myself or others; or if a subpoena or records has been requested. I also understand that, at any time, Sherine Lovegrove may discuss aspects of my case with other colleague keeping my full name and identity completely confidential unless I give permission otherwise.
I understand that the session with Sherine Lovegrove may produce outstanding results and I would be willing to offer a testimonial and feedback to them for publicity purposes.
I understand that my name will not be used in any testimonials unless it has been agreed with Sherine Lovegrove that the nature of my outcomes might be shared anonymously wither their audience.
I understand that Sherine Lovegrove may share anonymised screenshots of comments that I share with them for publicity purposes. I understand that I hold no rights to share recording(s) with anyone, it is solely for my purposes. I understand that by submitting this document, this waiver becomes a valid document with my full agreement to all of the above T&C