Please review and sign this contract prior to your first Bridgenosis® session. This will only need to be done once per client. By checking the box below the terms and typing your full name, you agree to these terms. If the client is a child, a parent must sign his/her own name first and include the child's full name where indicated. Thank you! P.S. The information collected is protected under our privacy policy, which is accessed in the Web Site footer. We do not share your information outside of Bridgenosis.
  • Agreement

    This agreement is made between Laura A. Palmer with Bridgenosis® LLC, Professional Certified Hypnotherapist and Individual and Organizational Behavior Consultant, and me, the client. The client is consulting with the Professional Certified Hypnotherapist and Individual and Organizational Behavior Consultant in connection with hypnotherapy services, neurolinguistic programming services, in-person or long distance services, and/or helping to acquire personal and/or professional skills the Client wishes to acquire.
  • "Healing"

    Laura does not believe in "healers." Each person has a powerful healing mechanism inside them, which they can help access by tapping the subconscious. Physicians have referred their patients here because they understand that stress plays a strong role in keeping the mind and body's own healing mechanisms from working at their most optimal levels. The source of stress is found and relieved by tapping the subconscious. Bridgenosis is a complementary and holistic approach that has helped people with many aspects of their life: mental, emotional, physical, and spiritual performance and happiness. Bridgenosis specializes in guiding people to learn how to tap their subconscious minds and includes hypnosis, neurolinguistic programing, and energy system modalities only. While Laura will facilitate the hypnosis communication, you will be in control of choosing whether to take the suggestions. Therefore, Bridgenosis includes a unique conversational technique to help find your resistance to taking the positive hypnotic suggestions needed to make changes at a subconscious level. This is key because we already know that you want to make the changes, and if you could make the changes on your own, you would. This process helps to ensure that you will take the positive hypnotic suggestions and make the changes you wish to make (i.e. get the results you want).
  • "Healing"

    Laura does not believe in "healers." Each person has a powerful healing mechanism inside them, which they can help access by tapping the subconscious. Physicians have referred their patients here because they understand that stress plays a strong role in keep the mind and body's own healing mechanisms from working at their most optimal levels. The source of stress is found and relieved by tapping the subconscious. Bridgenosis is a complementary and holistic approach that has helped people with many aspects of their life: mental, emotional, physical, and spiritual performance and happiness. Bridgenosis specializes in guiding people to learn how to tap their subconscious minds and includes hypnosis, neurolinguistic programing, and energy system modalities only. While Laura will facilitate the hypnosis communication, you will be in control of choosing whether to take the suggestions. Therefore, Bridgenosis includes a unique conversational technique to help find your resistance to taking the positive hypnotic suggestions needed to make changes at a subconscious level. This is key because we already know that you want to make the changes, and if you could make the changes on your own, you would. This process helps to ensure that you will take the positive hypnotic suggestions and make the changes you wish to make (i.e. get the results you want).
  • Understanding of Services

    The Client understands that the Professional Certified Hypnotherapist and Individual and Organizational Behavior Consultant is not a psychologist, psychotherapist or physician and is not providing psychotherapy or mental health counseling. This also means, Laura will not diagnose or treat medical or mental conditions, disorders or diseases. You should continue to see your other practitioners as you see fit or are advised by your physician(s). The self-help techniques he/she will learn are not a substitute for medical care, psychotherapy or mental health counseling.
  • Client Responsibility

    Client is advised and understands that if there are any present or future medical, mental health or psychological causes underlying his or her behaviors, habits or patterns which require the services of a duly licensed medical or mental health professional, the Client takes sole responsibility for consultation with such medical or mental health practitioner with regard to treatment.
  • The Client acknowledges his/her understanding that the Professional Certified Hypnotherapist and Individual and Organizational Behavior Consultant is not a licensed medical or mental health professional and is therefore not governed by the responsibilities of the medical or mental health professions. By signing below, the Client represents that s/he is not aware of any mental, physical or health condition that would be adversely affected by the services being rendered by the Professional Certified Hypnotherapist and Individual and Organizational Behavior Consultant.
  • The Client acknowledges his/her understanding that the Professional Certified Hypnotherapist and Individual and Organizational Behavior Consultant is not a licensed medical or mental health professional and is therefore not governed by the responsibilities of the medical or mental health professions. By signing below, the Client represents that s/he is not aware of any mental, physical or health condition that would be adversely affected by the services being rendered by the Professional Certified Hypnotherapist and Individual and Organizational Behavior Consultant.
  • Client Participation

    The Client acknowledges understanding that the above procedures being taught require that the Client participate as a co-active learner and that his/her own efforts and commitment to use the techniques taught are an essential requirement to achieve the success the client desires. Professional Certified Hypnotherapist and Individual and Organizational Behavior Consultant is dedicated to helping the client get the results they want and achieve the goals they set in as little time as possible. However, the client understands that accepting the services of the Professional Certified Hypnotherapist and Individual and Organizational Behavior Consultant does not guarantee any specific outcome or success. The Client acknowledges that he/she has had the full opportunity to discuss with the Professional Certified Hypnotherapist and Individual and Organizational Behavior Consultant the nature of the services to be provided and/or the instruction to be rendered, and hereby consents to learning and/or the use of any one or all of the methods or techniques and similar to those listed above.
  • Never listen to hypnosis (or audio mindshifters) while driving.

    Participant agrees to only listen to the hypnosis recording when Participant is laying down or sitting and doing nothing else. Participant understands that using hypnosis recordings while driving or doing anything is dangerous and agrees to hold Bridgenosis harmless from any negative outcomes resulting from such behavior.
  • Confidentiality

    Professional Certified Hypnotherapist assures the Client that communications between both will be treated as confidential. The Client understands that communication will take place via phone, e-mail and with the use of online services such as Dropbox and video-conferencing technology (such as SKYPE).
  • Thank you!

    Laura is excited to work with you soon!