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Client Responsibility & Release of Liability

All new clients must complete the Release of Liability form below.

  • Please review each statement below, and then reply "Yes" or "No" to indicate your agreement with the statements.

  • If you reply "No", I will cancel any upcoming appointments that you have and refund any deposits.

  • If you reply "Yes", I look forward to meeting with you as scheduled.

Release of Liability form

VISUALIZATION: I am willing to be guided through relaxation, visual imagery, and/or stress reduction techniques. I understand that even if I find it difficult to visualize, Laura will do her best to guide me and that ultimately it is her guidance and time and expertise that provides value for my fee.

 

MEDICAL: I am aware these modalities are non-medical, and it is my responsibility to consult my regular doctor about any changes in my condition or my medication. I understand these modalities are not substitutes for regular medical care and I have been advised to consult my regular medical doctor or health-care practitioner for treatment of any old, new or existing medical conditions.

SELF HEALING: I understand that ALL HEALING IS SELF HEALING and that Laura is only a “facilitator” in the process of helping me to solve my own problem(s). It is my responsibility to be open and honest, provide accurate feedback and be forthcoming with details and information that may help me achieve my outcomes.

 

ETHICS: I understand that Laura may elect NOT to proceed with the session if she feels it is not in her or in her clients' best interest to do so and will promptly refund any fee collected.

 

RECORDING: I understand that our session will be recorded and I will receive the recording.

 

WAIVER: Except in the case of gross negligence or malpractice, I or my representative(s) agree to full release and hold harmless Laura Hoffman from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my sessions.

 

CONFIDENTIALITY: I understand that my full name and personal information will be kept completely confidential.

 

ANECDOTAL: Sometimes in consulting sessions information may arise from me personally that may have universal interest or application. I agree to allow Laura Hoffman to share this information and any accompanying story summary either on video or in written form in blogs or books as long as my name and all personal and relevant details are omitted or changed to protect my identity.

 

LAURA HOFFMAN'S GUARANTEE: Although no one can ever guarantee healing, either emotional or physical, Laura guarantees that she will bring all of her knowledge, intuitive gifts, expertise and compassionate concern to each attendee.

I have read the above statements, and:

Thank you for completing the form!

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