DISCLOSURE OF SERVICES

Client Bill of Rights


INTRODUCTION & CREDENTIALS


Contact Information

My name is Harley Sears. I can be contacted by telephone at (913) 999-5819 or by email at hypnosis@harleysears.com.

Education & 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 you desire a diagnosis or any other type of treatment from a different practitioner, you may seek such services at any time.


SCOPE OF PRACTICE


Scope of Practice Limitations

I do not diagnose, treat, cure, or prevent any medical, mental health, or psychological conditions. The services I provide are non-therapeutic and complementary to, not a replacement for, any medical or psychological care you may be receiving. Hypnosis is not intended to be a substitute for treatment from qualified professionals. Always consult with your healthcare provider regarding your medical conditions and treatments.

My Approach

Services rendered by a hypnotist are held out to the public as nontherapeutic motivational and meditative coaching, defined as the use of hypnosis to inculcate positive thinking and the capacity for self-hypnosis. Services rendered are not any form of health care or psychotherapy, and despite research to the contrary, I make no health benefit claims for my services. My work is supportive and educational, intended to enhance productivity, effectiveness and flourishing.

Contraindications

Hypnotherapy may not be appropriate for individuals with certain conditions, including but not limited to: severe mental health disorders, active psychosis, dissociative disorders, or other conditions that might be adversely affected by hypnotic techniques. If you have any of these conditions or are unsure if hypnotherapy is appropriate for you, please consult with your healthcare provider before proceeding with sessions.


PRACTICAL INFORMATION


Fees & Cancellations

My fee for a one-hour session is $150. If you need to cancel your appointment, please provide at least 24-hour notice to avoid being charged the full session fee. In the event of a no-show (missing an appointment without notice), you will be charged the full session fee of $150. I understand that unexpected circumstances may arise, and I am willing to make exceptions to this policy on a case-by-case basis. Please note that this policy is in place to ensure that I can effectively manage my schedule and provide the best possible care to all of my clients. If you have any questions, please don't hesitate to ask me.

Insurance Not Accepted

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.

Virtual Session Requirements

For virtual sessions, you will need (a) a reliable internet connection, (b) a device with a camera and microphone, (c) a private, quiet space free from interruptions, (d) Zoom application installed on your device. In the event of technical difficulties, we will attempt to reconnect. If reconnection is not possible, we will reschedule the session or continue by telephone, depending on your preference.


CLIENT RELATIONSHIP


Your 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. Sessions are held over secure, HIPAA-compliant Zoom for Healthcare. To ensure your privacy, sessions are never recorded or stored.

Client Responsibility

Results from hypnotherapy vary from person to person. The success of our work together depends greatly on your commitment and follow-through. You are responsible for your own well-being during and after our sessions, including making health choices and decisions. While many clients report positive outcomes, I cannot guarantee specific results.

Communication Boundaries

I am typically available for communication during normal business hours, Monday through Friday. I strive to respond to all communications within 24 hours during business days. Please note that I am not available for emergency services. If you are experiencing a medical or mental health emergency, please call 911 or go to your nearest emergency room.

Termination Policy

I reserve the right to terminate our professional relationship if I believe that continuing would not be in your best interest, if your needs exceed my scope of practice, or if other circumstances arise that necessitate termination. Similarly, you have the right to terminate our professional relationship at any time.

Testimonial Disclaimer

The testimonials featured on my website and marketing materials represent the authentic experiences of past clients. However, these testimonials are individual experiences and results may vary. The testimonials are not intended to represent or guarantee that anyone will achieve the same or similar results.


CONSENT FOR SERVICES


Client Acknowledgment

By scheduling, attending, or paying for sessions with Harley Sears, you acknowledge and agree to the following: (1) You have read, understood, and agree to all terms outlined in this Client Bill of Rights, (2) You understand that hypnosis is not a replacement for medical treatment, psychological or psychiatric services, or counseling, (3) You understand that results vary and that Harley Sears does not guarantee any specific outcomes, (4) You recognize that you are fully responsible for your physical, mental, and emotional well-being during and after your sessions, including your choices and decisions, (5) You understand that you may discontinue services at any time, (6) You understand that Harley Sears has initially recommended a series of three sessions at a frequency of once a week, and at the end of this program, you may continue sessions at your desired frequency as long as you feel you are receiving benefits, (7) You understand that all information shared during your sessions will be kept confidential except in cases where disclosure is required by law or where you have given written permission, (8) If participating in virtual sessions, you agree to ensure you have the necessary technology and privacy requirements in place.

No signature is required for this acknowledgment; your participation in services constitutes acceptance of these terms.

(913) 999-5819 | hypnosis@harleysears.com
Los Angeles | Kansas City | New York City