I, (The Client), hereby release Sonni Wong from any liability or claims that could
be made against her concerning my mental and/or physical well-being during the
work that has been outlined and agreed upon (now and in the future) by filling
out this form. This liability waiver is not intended to exclude or restrict liability
for death or personal injury caused by negligence.
Scope of Practice
I understand that Sonni Wong is not a licensed physician, psychologist, or medical
practitioner of any kind and that hypnotherapy should not be considered a
replacement for the advice and/or services of a psychiatrist, psychologist,
psychotherapist, or doctor.
Participation
I give Sonni Wong full permission to hypnotize me and to use Rapid
Transformational Therapy® knowing that by participating fully in the process
and by listening to my personalized recording for 21 days, I play an important
role in my overall success.
Guarantee
I understand that although Rapid Transformational Therapy® has an incredibly
high success rate, Sonni Wong cannot and does not guarantee results since my
own personal success depends on many factors that Sonni Wong has no control
over, including my willingness and desire to effect the changes inside myself.
Audio Recording(s)
I give Sonni Wong full permission to make audio recordings that may include my
voice. I understand that if a recording (or recordings) is made during or after my
session(s) Sonni Wong retains full copyright over any forms of media that may be
produced and distributed to me.
Deepening Process (if applicable)
I hereby grant permission to Sonni Wong to respectfully lift my arm, touch my
shoulder, or rock my head during my Rapid Transformational Therapy®
session(s) in order to help facilitate the deepening process.
Confidentiality
By signing this form, I consent that Sonni Wong may release information to a
specific individual or agency if it has been determined that a vulnerable person
(child or adult) is at risk; if I, as a client, am in imminent danger to myself or
others; or if a subpoena of records has been requested.
I also understand that, at any time, Sonni Wong may discuss aspects of my case
with other colleagues, keeping my full name and identity always completely
confidential unless I have given permission otherwise.
