VRishi Immersive HypnotherapyAcknowledgement of Services & Fees
Signed Before Any Fees Are Incurred

Acknowledgement of Services & Fees

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

Services

Services consist of guided hypnotic techniques for avocational and vocational self-improvement and instruction in self-hypnosis, as described in the Client Disclosure & Informed Consent. They are not medical, psychological, psychiatric, or dental diagnosis or treatment, and no specific outcome is promised or guaranteed.

Session Fees

ServiceDurationFee
Private Guided Session
$200
Practice Partner Session — introductory rate
$95

Additional fees entered above at the time of signing. The initial consultation is complimentary. Practice-partner sessions offered pro bono carry no fee; where the introductory rate applies, it is the $95 shown above. The standard private-session rate is the $200 shown above. Any change to these fees is agreed in writing before it applies.

Payment

Payment is due at the time of service unless agreed otherwise in writing. Accepted methods are confirmed at scheduling through the secure booking system. A receipt is provided for every payment.

Cancellations & Missed Sessions

Please give at least hours’ notice to cancel or reschedule. A session cancelled with less notice, or missed without notice, may be charged , except in emergencies.

Acknowledgement

I have read and understood this acknowledgement before incurring any fees or charges. I agree to the services, fees, payment terms, and cancellation policy stated above.

Client signature
Client name (printed)
Date
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