This Form is to be filled out, signed and submitted prior to your session.
Mind Over Matter
Rapid Transformational Therapy (RTT) and
Quantum Healing Hypnosis Technique. (QHHT)
ALL INFORMATION IS STRICTLY CONFIDENTIAL
What brings you in today?
Anything on this list, or something else?
Drinking, Drugs, Gambling, Smoking
Past Life Regression- QHHT
Spiritual insights and growth, and questions for your Higher Self -QHHT
Dealing with a health issue whether small or big and want to get to to the root cause of it -QHHT
Disclosures:People with Epilepsy or any person diagnosed as having a psychotic illness should not enter hypnosis. MindOverMatter accepts no responsibility whatsoever, under no circumstances including but not limited to negligence, and cannot be held liable for any special or consequential damages in any way whatsoever now or in the future that result from the use of hypnosis, advanced hypnotic techniques, hypnotherapy or any other therapies, or any information gained while relaxed and in hypnosis. The information, techniques, methods and recommendations by MIndOverMatter are not intended to substitute for the diagnosis and care of a qualified doctor. At no point is anything that is said during this session by the hypnotist, or the client, while under hypnosis, to be constituted as “advice”, the client must always use discernment when taking any actions or changes of action in their life after a session. If you use hypnosis and are under medical care for any condition, do not make any adjustments to any prescribed medication without the approval of your doctor. If in any doubt, you should seek medical advice. I, Leanne Hamilton do not accept responsibility for any loss, damage or expense resulting from the use of information provided. By signing this form you are agreeing to these conditions and you indemnify Mind Over matter and Leanne Hamilton, and hold us harmless . Never drive a vehicle while listening to hypnotic audio. The information I have given here is to the best of my knowledge, full and correct. These sessions are taken with the understanding that this is a collaborative process, and that progress depends in large part upon your own motivation, and participation.
I accept that all appointments not cancelled with 48 hours will be charged in full.
By providing my name and signature below I am agreeing to the terms, conditions and disclosures.
Thank you for booking a session!
We are excited to help you move forward!