Subject: Self-Improvement Program

I, the undersigned, acknowledge that I understand and agree to the following:

I agree to pay Jithendran Sellamuthu, C.MH. a fee of $200 per session, or the price shown at booking for the service selected.

I also agree to pay for services, in full, on the date of each session.

I agree to give 24 hours notice for all cancellations or changes of scheduled appointments. I understand that missing a scheduled session without 24 hours notice may result in a charge for that session.

I understand that the program of conditioning offered will include an undetermined number of private sessions, depending on my needs and progress. Each session is approximately 50 to 90 minutes in duration.

It is a common practice for the hypnotherapist to record the hypnosis portion (only) of sessions and share that recording with the client for reinforcement between sessions. I consent to this practice.