Terms & Conditions for a session with Inner Alchemy / Stef Smith

1. Required disclosures. Provider is not a licensed physician. The services offered by Provider are alternative or complementary to healing arts services licensed by California. The services that Provider offers are not licensed by California.

A.  Nature of Services. Provider provides the following services: using regression hypnosis, with or without low dose Ketamine, to facilitate a stronger connection to the clients inner wisdom and innate healing capacities. Although these processes may include the term “healing,” I acknowledge that I am the only one who can heal myself, and that Provider merely facilitates personal insight.

B. Theory of Treatment. The theory of treatment upon which the services are based is that all humans have the innate capacity to access their own healing and wisdom. Hypnosis can help facilitate a state that access those capacities.

C. Provider’s Training and Experience. Provider has a level 2 certification in QHHT – Quantum Healing Hypnosis Technique.

2. Contact/Touch: I understand that although touch is not part of the QHHT modality, in rare cases touch may be required. I will at all times be clothed, no exposing of otherwise clothed areas of the body is required. I specifically authorize Provider to use physical contact and touch, and I consent to the same as necessary for the delivery of services described above. I will let Provider know anytime I am uncomfortable.

3. No Guarantee: I recognize that Provider cannot guarantee results or any specific outcomes from our work together, and that Provider offers no warranties of any kind. I am solely responsible for any action taken based on my interpretation of any information presented.

4. Right to Discontinue Services; No Additional Individuals Permitted. I understand that Provider has the right to refuse to continue delivering services at any time for any reason whatsoever. Also, I understand that unless this is a group session, no minors or additional individuals are permitted.

5. No Medical, Psychological, or Massage Therapy Services. I am not engaging Provider for any medical services, psychological services, or massage therapy or bodywork services. I understand that Provider does not diagnose, treat, or claim to cure any medical or psychological condition, and that Provider’s services are not designed to replace conventional treatment methods of medical or psychological conditions. I am responsible for my own health care decision-making by obtaining any necessary consultations with appropriately licensed health care professionals such as licensed physicians and psychologists.

6. My Responsibility For My Self-Care. I understand that working with Provider may bring up distressing feelings, images, thoughts and behaviors. Specifically, temporary emotional releases may occur in the form of sadness, anxiety, fear or stress. Such feelings are often brief and self-resolving; however, emotional support when these feelings arise is recommended. Some of these distressing experiences may persist or resurface at a later time. I agree to seek medical assistance or psychotherapy or any other appropriate physical or mental diagnosis and treatment from a practitioner duly licensed in California (such as a licensed medical doctor or licensed psychologist) and/or my respective state if I find that these distressing aspects create a danger to me or to others.

7. Drugs and Alcohol. Any medication prescribed by my medical doctor should be taken as instructed by my doctor. However, certain drugs and alcohol can interfere with the services, and I will disclose their use to Provider so that Provider can ascertain whether to continue providing me with services. If I show up for a session inebriated than my payment will be forfeited and Provider will not provide me with any services.

8. Assumption of Risk; Indemnity. I knowingly, voluntarily, and intelligently decide to receive the services described above, and I knowingly, voluntarily, and intelligently assume all risks involved in the same. As a result of my assumption of these risks, I agree to release, hold harmless, indemnify, and defend Provider and her managers, members, employees, agents, staff, volunteers, assigns and agents from and against any and all claims which I (or my representatives) may have for any loss, damage, or injury arising out of or in connection with use of the services described above, or arising out of or in connection with referral to other practitioners or merchants for delivery of any services. As a result, I agree not to pursue a claim against any of the foregoing, if I am dissatisfied with the results of the above services. I UNDERSTAND THAT THIS IS A WAIVER & RELEASE OF LIABILITY TO WHICH I AM BOUND AND UNDER WHICH I AM WAIVING IMPORTANT LEGAL RIGHTS. This indemnity, waiver and release is intended to be as broad as is allowed under applicable law and applies to any and all claims for damages, regardless of whether they are alleged caused by Provider.

9. Nutritional Advice: State law allows any person to provide nutritional advice or give advice concerning proper nutrition--which is the giving of advice as to the role of food and food ingredients, including dietary supplements. This state law does NOT confer authority to practice medicine or to undertake the diagnosis, prevention, treatment, or cure of any disease, pain, deformity, injury, or physical or mental condition and specifically does not authorize any person other than one who is a licensed health practitioner to state that any product might cure any disease, disorder, or condition.

10.  Cancellation Policy: I understand there is a 72-hour appointment cancellation policy and that if I miss my scheduled appointment or cancel within less than 72-hour notice, I am responsible for cost of the deposit as indicated under fees and charges. Cancellation may done by email at stef@inneralchemhy.com.

11. No Refunds: Provider does not offer any refund for office visits or services of any kind. Provider maintains good boundaries regarding scheduled appointments, and does not make up for time if I am late.

12.  No Participation in Insurance Plans; No Responsibility for Determining Benefits: Provider does not participate in any insurance panels, and do not accept assignment from any insurance company. Consequently, I am responsible for payment in full at time of service and charges are determined by Provider. Further, Provider is not responsible for determining eligibility for benefits or for assisting me with collecting insurance benefits and have no responsibility to correspond with or telephone or email any insurer.

13.  Session recording. Sessions are recorded via  audio. I understand and agree to that in the case of any unforeseen technical failure where loss of the recording takes place, I do not have the right to a refund or do-over. I will receive one copy of the recording and Provider will keep a copy.