VRishi Immersive HypnotherapyWritten Client Disclosure
Provided Before Services

Client Disclosure & Informed Consent

Jithendran Sellamuthu, C.MH. · Certified Master Hypnotist · Sessions held remotely via Zoom, where permitted by applicable law.

Practitioner
Jithendran Sellamuthu, C.MH.
AHA Certification ID: 013165
AHA Membership No: 007913
Valid to December 5, 2027
Training
Hypnosis Motivation Institute
Senior Student · 720-hour program
Nationally Accredited College
of Hypnotherapy

Scope of Services

Services consist of guided hypnotic techniques for avocational and vocational self-improvement, including relaxation, confidence, habit change, motivation, performance, public speaking, sleep improvement, weight-management support, and personal growth, as well as instruction in self-hypnosis.

What These Services Are Not

Jithendran Sellamuthu is not a licensed physician, psychologist, psychotherapist, dentist, or psychiatrist. These services are not medical, psychological, psychiatric, or dental diagnosis or treatment, and are not a substitute for care from a licensed provider. Hypnotherapists are not licensed by the state as healing arts practitioners. No promise, guarantee, or warranty of any particular result is made.

Referral-Based Services

Hypnotherapy for medical or psychological purposes is available only upon referral from a licensed physician, dentist, or psychologist, where applicable. Written disclosure, intake documentation, and referral documentation are required before those services begin.

Your Participation

Hypnosis is a state of focused attention and relaxation, not a loss of control. You remain aware throughout, may choose whether to accept any suggestion, and may end a session at any time. Results depend on your goals, your engagement, and how you respond to the work.

Confidentiality & Records

Session notes are kept confidential and are not released without your written authorization, except where disclosure is required by law. Remote sessions are conducted over a private video connection and are not recorded without your written consent.

Acknowledgement

I have read and understood this disclosure. I understand the scope and the limits of the services offered, that they are not medical or psychological treatment, and that no specific outcome is guaranteed. I consent to participate.

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