CLIENT BILL OF RIGHTS

Disclosure of Services

Contact Information

My name is Harley Sears. I can be reached through my office at 5251 W 116th Place, Suite 200, Leawood, Kansas 66211. I can also be contacted by telephone at (913) 999-5819 or by email at hypnosis@harleysears.com.

Education and Training

I graduated with a Diploma in Hypnotherapy from HMI College of Hypnotherapy in Southern California, including an internship of practical experience under the supervision of staff instructors holding teaching credentials from the State Department of Education. Additionally, I earned a Certificate in Wellness Counseling from Cornell University and a Specialization in Integrative Health and Medicine from the University of Minnesota.

Notice

As the State of Kansas has not adopted educational and training standards for the practice of hypnotism, this statement of credentials is for informational purposes only. Hypnotism is a self-regulating profession and its practitioners are not licensed by state governments. I am not a physician nor 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. A client has a right to refuse hypnotism 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 sessions and may assert any right without retaliation.

Business Permits and Licenses

Hypnotherapy with Harley Sears is licensed by the City of Leawood. Any person engaging in a business, trade, or profession that provides any service within Leawood city limits is required by City Ordinance to obtain an Occupation License before they can open for business.

Fees / Good Faith Estimate

My fee is $150 per visit. I accept cash, debit, credit, health savings cards, flexible spending cards, or Apple Pay. My full fee is charged for appointments canceled or rescheduled without 24-hours notice. No-shows are also responsible for my full fee.

Insurance

I suggest you think of my services as something that you will pay for personally. That will both protect your privacy and help you value the work you are doing more. In general, insurance companies do not cover hypnotic services, and I caution you not to expect them to do so.

Privacy

You have the right to expect that anything you tell me will be held in confidence. I will not release any information to anyone without written authorization from you. It is my policy to refuse disclosure of all privileged information.

My Approach

The services I render are held out to the public as non-therapeutic hypnotism, defined as the use of hypnosis to inculcate positive thinking and the capacity for self-hypnosis. The self-hypnotic state is a state of relaxed concentration which anyone can enter naturally. I provide clients with instructions on how to enter this natural state more easily and effectively. I do not represent my services as a form of health care or psychotherapy, and despite research to the contrary, by law, I make no health benefit claims for my services.

COVID-19 Safety

I am taking every precaution to limit exposure to COVID-19 by adhering to communicable disease control protocols provided by the Los Angeles County Department of Public Health. However, you voluntarily assume all risks related to exposure to COVID-19 or any similar illness should you visit my office in person.

Client Acknowledgment

By reading this document, you acknowledge that (a) you have read and understood this document. (b) you understand this is not a contract and that you may end your sessions at any time. (c) you understand that Harley Sears has initially recommended a series of three sessions at a frequency of once a week to address your presenting issue. At the end of your program, you may continue sessions at your desired frequency as long as you feel you are receiving benefits.

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Hypnotherapy with Harley Sears
5251 W 116th Place, Suite 200
Leawood, Kansas 66211
(913) 999-5819
Serving the Kansas City Metropolitan Area
© 2022 Harley Sears | Updated 12/1/22