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Getting Started

This page is divided into two sections: the "Client Agreement & Comprehensive Disclosure" and the "Client Intake Form." Please take the time to read everything thoroughly and complete the form carefully. 

IF YOU ARE: 

PLEASE NOTE: This MUST BE COMPLETED BEFORE scheduling the initial consultation.

Let’s get started!

CLIENT AGREEMENT & COMPREHENSIVE DISCLOSURE

This document outlines essential information regarding your participation in hypnotherapy sessions, coaching, retreats, and associated activities provided by Doug Godfrey, Your Sovereign Mind, LLC. By booking and participating in sessions or retreats, you acknowledge that you have read, understand, and agree to all terms outlined below. ​

DISCLAIMER & SCOPE OF PRACTICE

Doug Godfrey, Your Sovereign Mind, LLC, and affiliated practitioners are not licensed nutritionists, medical doctors, psychologists, psychiatrists, or psychotherapists. Hypnotherapy, RTT® Hypnotherapy, coaching, advice, or any techniques or modalities employed are educational, self-developmental, and intended solely for personal growth. They do not replace medical, psychological, or psychiatric treatment. You agree to seek professional medical or psychological advice when necessary.

CLIENT TERMS & CONDITIONS

Booking & Payments:

  • In-person sessions require a non-refundable deposit upon booking, with the remaining balance due 48 hours prior.

  • Online sessions require full payment at least 24 hours before the scheduled session.

 

Cancellation & Refunds:

  • 48-hour notice is required for cancellations/rescheduling of in-person sessions.

  • 24-hour notice is required for cancellations/rescheduling of online sessions.

  • No refunds within these notice periods.

 

Session Expectations:

  • Sessions start punctually; late arrival may reduce session time.

  • Attend sessions sober and in an appropriate state to benefit from hypnotherapy.

 

Medical and Psychological Conditions:

  • You MUST inform Doug Godfrey of all relevant medical and psychological conditions prior to sessions.

  • Hypnotherapy is contraindicated for epilepsy or psychosis.

  • Seek consent from healthcare providers if under treatment for medical or psychological conditions.

 

Audio Recordings:

  • Recordings provided must never be listened to while driving, operating machinery, or any activity requiring full concentration.

  • Recordings are personal and confidential; they must not be shared or distributed.

 

GROUP DISCLOSURE & RETREAT ACTIVITIES

Conduct and Participation:

  • Attendees must behave respectfully toward all participants, staff, and presenters.

  • Disclosure of medical or psychological conditions that may affect participation is required.

  • Those with epilepsy or psychotic disorders should not participate in group hypnosis.

 

Media & Recording:

  • Recording (audio/video) by attendees is prohibited without explicit consent.

  • Attendees consent to event recordings unless explicitly opting out at the event commencement.

 

Liability Waiver:

  • Attendees release Doug Godfrey, Your Sovereign Mind, LLC, from liability for any injury, illness, loss, or damage arising from participation.

  • Attendees assume full responsibility for their personal well-being during the event.

 

PRIVACY POLICY

 

Data Collection & Usage:

  • Personal data collected includes name, age, contact information, and session notes.

  • Data is used solely for therapeutic purposes and client communication.

 

Data Sharing:

  • Data is confidential and not shared unless required by law or in emergencies.

  • Data is securely stored on password-protected digital devices and/or in locked storage.

  • Data is retained for the period required by insurance and regulatory compliance, after which it is securely destroyed or deleted.

 

CLIENT TESTIMONIAL & MEDIA RELEASE

 

By providing testimonials, you consent to:

  • Use, reproduction, distribution, and public sharing by Doug Godfrey, Your Sovereign Mind, LLC.

  • Withdrawal of consent can be done at any time through written notice if not checked in the initial intake form. 

  • No additional compensation beyond testimonial usage.

  • Acknowledge that your testimonial may include photographic or video graphic likeness unless you explicitly opt-out.

 

OVERALL DISCLAIMER: All services provided by Doug Godfrey, Your Sovereign Mind, LLC, are educational and self-improvement oriented. Nothing provided should be interpreted as medical advice or treatment. Clients should consult licensed healthcare professionals for any physical, psychological, or medical concerns.

Client Intake Form

The Client Intake Form helps me understand your needs, goals, and preferences so we can create a plan that truly fits you. The more details you provide, the better I can tailor our services to fit your unique requirements.

All information provided is strictly confidential.

Please complete and sign this form before your initial consultation.

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AREAS OF CONCERN (Check all that apply):

By signing below, you acknowledge that you have read, understood, and agree to the terms above and the information you have provided is truthful.

Now that you've gone over all of the required information and submitted your Intake Form, click the button below to schedule your FREE consultation. I look forward to helping you become a better YOU

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