Terms of Service:
Client has been informed that Cynthia Sholes, Ph.D., MdH is a Certified Medical Hypnotherapist and innovator of rRest with a doctorate in Neuroscience. As such, she works with clients for their self-improvement and personal growth; she does not treat or diagnose emotional, medical or psychological disorders. She will provide hypnotherapy, guidance and other mind body therapies based on the client’s personal history and lifestyle, and on the latest scientific research. Any and all results of the consultations are the sole responsibility of the client.
Notice: AS THE STATE OF CA HAS NOT ADOPTED EDUCATIONAL AND TRAINING STANDARDS FOR THE PRACTICE OF HYPNOTHERAPY, THIS STATEMENT OF CREDENTIALS IS FOR INFORMATIONAL PURPOSES ONLY. Hypnosis is a self-regulating profession and the State of California does not license its practitioners. I am not a physician or a licensed health care provider and may not provide a medical diagnosis nor recommend discontinuance of medically prescribed treatments. If a client desires a diagnosis or any other type of treatment from a different practitioner, the client may seek such services at any time. In the event a client terminates my services; the client has a right to coordinated transfer of services to another practitioner. A client has a right to refuse hypnosis services at any time. A client has a right to be free of physical, verbal or sexual abuse. A client has a right to know the expected duration of treatment and may assert any right without retaliation.
Redress: In the event, you are not satisfied with my services I request that you speak to me promptly and personally about your concerns. I feel confident we can arrive at a mutually agreeable solution to your concerns.
Sessions: Standard sessions are 50 min. to 1 hour. Thirty minutes follow up sessions are available but may not be recommended depending on the work being done. If extra time is needed for a particular session this will be discussed with you prior to scheduling the appointment. The number of sessions generally will vary from a minimum of two to several visits depending upon the behavior modification desired. Sessions are designed with the client to meet individual needs.
Fees: The fee is $300 per 50 min. session. 30 min sessions fee is $200. Fee is due at the beginning of visit. Missed appointments or appointments cancelled or rescheduled with less than 24-hour advanced notice are subject to a $400 cancellation fee. Special package pricing is available for a savings; unused sessions expire 1 year after date of purchase.
All your records are confidential, released only upon the client’s written authorization. We take your privacy seriously and are HIPAA-free.
By signing below, you acknowledge and understand that California has specific laws pertaining to the use of hypnosis to enhance or recover memories to aid in testifying in criminal matters and that those laws may also impact civil cases if the hypnosis is used for the same purposes. Use of hypnosis to aid memory or recall for court testimony may result in the inadmissibility of that testimony. I advise you to contact your attorney if questions exist in your mind as to whether using hypnosis may affect your legal rights in matters currently pending.
By clicking the box below, you are agreeing that you are not currently involved in any criminal or civil matters where you are seeking to enhance or develop memories for use in litigation. Client agrees to hold the hypnotherapist harmless, to defend and indemnify the hypnotherapist from any claims, including all attorneys' fees and costs related to the so-called creation of memories or testimony that may arise or be related.
The foregoing information I have entered is true and correct to the best of my knowledge and I agree to be bound by my own representation.