Client Consent & Disclosure

Please read and sign before your first session.

  • Participation in hypnosis sessions is completely voluntary, and I may stop at any time.
  • Hypnosis is a complementary wellness service. It is not a replacement for medical, psychological or psychiatric care, and no diagnosis is made.
  • I understand and acknowledge that Gary Barone is a Certified Hypnotist but not a licensed medical professional.
  • I will continue any treatment prescribed by my doctor and will tell my doctor about any health concerns.
  • All information I share is kept confidential, except where disclosure is required by law.
  • Results vary from person to person, and depend on my motivation and commitment.
  • I consent to hypnosis sessions with Gary Barone now and in the future. This signed consent applies to all future sessions and discussions unless I withdraw it in writing.
  • Sessions may be transcribed (speech converted to text) solely so my practitioner can keep accurate session notes in my confidential file. Audio recordings are not kept — they are discarded once the written transcript is created.

Sign your consent

Sign once — this consent stays on your file and covers all future sessions, so you never need to sign again.

Click or tap below to sign digitally — no pen or printing required.