Client Agreement

Welcome to Wings Hypnosis! I'm delighted to be working with you and look forward to our session(s) together. To create a thriving practitioner-client relationship, I want you to be familiar with a few policies. Feel free to contact me regarding any questions or concerns before beginning our work.

First Name: ________________________________ Last Name: ______________________________________

Address: _____________________________________ City: ______________ State: _______ Zip: __________

Phone Number: ____________________________ Email: __________________________________________

Birthday: __________________ How did you hear about Wings Hypnosis?____________________________

Emergency Contact: ____________________________ Relation: ____________ Phone: __________________

1. Scope of Work

You are retaining me, Traci Kanaan, to provide hypnosis, hypnotherapy, and/or life coaching services.

My services are not counseling, psychotherapy, psychoanalysis, or medical treatment, and they do not involve the diagnosis or treatment of emotional or mental disorders.

Because my services are not medical in nature, health insurance does not apply.

My sessions, depending on your needs and belief systems, may include (but not limited to) hypnosis, hypnotherapy, NLP (Neuro-Linguistic Programming), life coaching, Chinese medicine face-reading, meditation, grounding techniques, and/or light physical movement.

2. Creating Ideal Conditions for Your Sessions

You have chosen to work with me to make significant changes in your life. Change may occur quickly or gradually. I am fully committed to helping you achieve your desired results, and am asking you to help create the best environment possible for your sessions.

General Notes About Your Sessions:

All sessions are recorded, and you will be provided with a video recording, audio recording, transcription, and my notes within 24-48 hours after your session. Note-taking is not recommended so we can make the most of our time together.

To get the changes you want as quickly as possible, you need to speak freely. Rest assured, you will not be judged for your religious beliefs, political views, sexual orientation, or past experiences.

Your safety and comfort are my priority. If I ever say or do anything that feels uncomfortable or upsetting to you, please let me know immediately so I can adjust accordingly.

For Zoom Sessions:

Choose a private, quiet, distraction-free space. If your session is at home and children and pets are nearby, please ensure they are cared for to avoid interruptions.

Do not schedule sessions while driving, walking, in public places, or while supervising children.

Make sure you have access to a comfortable chair, couch, or bed for the hypnosis part of your session.

For In-Person Sessions:

If you are not feeling well, please reschedule or switch to an online session.

I use a sound machine outside my office door to enhance your privacy and to reduce the noise outside my office.

The temperature of my office is typically between 68–74°F; you may want to bring a sweater. Clean blankets are available (and washed after each use).

Wireless headsets, when used for hypnosis, will be sanitized with alcohol wipes, and covered with disposable ear covers.

Any persons you bring with you must wait in the lobby unless their presence is specifically requested and approved at least 24 hours in advance.

Please do not bring your children to your session. If you must bring your children, please ensure you have someone to watch them and that they have enough books or devices to entertain themselves for your entire session. The office building and waiting room is shared by several other offices, and the office manager is not a babysitter.

3. Scheduling, Rescheduling & Session Forfeitur

To maximize results, schedule sessions weekly, biweekly, or monthly. Avoiding long gaps between appointments will yield much better results.

If you need to reschedule, I require 24 hours notice. You are allowed one “life happens” reschedule in case of an emergency. After your one “life happens” emergency, sessions that are canceled within 24 hours are forfeited.

If you are late, I will attempt to contact you after 10 minutes and again at 20 minutes. You may join the session for the remaining time, but your session will not be extended to the full amount scheduled.

4. Acceptance of This Agreement

By signing, you acknowledge the following:

I am participating voluntarily, of my own free will.
I am a co-operator, not a patient, in this process.
I accept 100% responsibility for my emotional, mental, physical, and spiritual well-being before, during, and after sessions.
Transformation is a process and may take time. Results may not occur within a single 90-minute session.
If I am under treatment for a diagnosed mental health condition (Depression, Anxiety, PTSD, Insomnia, etc.), I understand that I cannot receive hypnosis or hypnotherapy without a written referral or prescription from my licensed provider, as required by Florida Statute 485.
I acknowledge that Traci Kanaan is a Certified Hypnotist and Hypnotherapist, and not a medical doctor, nutritionist, social worker, counselor, or licensed mental health professional, and does not portray herself as such.
I will continue prescribed medications and treatments under my physician’s care.
I will use techniques learned responsibly and appropriately.
Sessions will be recorded with my knowledge and approval. These recordings are for my personal use only, and Wings Hypnosis, LLC retains all copyrights. Recordings may not be altered, reproduced, sold, or distributed.
I understand that my personal identity and revealing details will never be disclosed without my permission, should Traci Kanaan share my story for educational purposes.
I, being of legal age or with a parental signature if under 18 years of age, my heirs, executors, administrators, and assignees, do now release and discharge Wings Hypnosis, LLC and Traci A Kanaan from all claims of damages, copyrights, demands, or actions whatsoever in any manner arising from or growing out of my cooperative participation.
I have read and accepted the Terms of Use (www.wingshypnosis.com/website-terms-of-use-and-conditions) and the Privacy Policy (www.wingshypnosis.com/privacy-policy).

5. No Guarantees

I, Traci A. Kanaan, will provide my best skills, advice, and resources, but I cannot guarantee your results. Your success depends on your choices, application, and consistent, diligent practice of the techniques and resources, and use of the recordings you are provided.

6. Fees, Refunds & Transfers

Sessions are non-refundable.

Sessions must be used within 3 months of purchase. After 3 months, a $100 renewal fee applies (valid for an additional 3 months). After 6 months, unused sessions are forfeited.

Unused sessions may be transferred to another person if:

The recipient completes a 60-minute Consultation.
Their challenges fall within my scope of work.
A $150 transfer fee is paid by either you or the recipient of the unused sessions.
The client provides written or emailed authorization of the session transfer.

Refund in the Event of My Death or Disability:

If I am unable to continue working with you, a prorated refund will be issued for unused sessions purchased within the last 3 months. Sessions purchased more than 3 months prior are not eligible for a refund.

7. Confidentiality

All session content (verbal, written, or recorded) is confidential, except where disclosure is required by law. This includes:

Suspected child, dependent, or elder abuse.
Threat of harm to self or others.
Legal proceedings where a judge subpoenas records or testimony.

8. Public Disclosure & Non-Disparagement

Neither party may disclose or publicly announce the terms of this Agreement without written consent.

You agree not to make defamatory or disparaging remarks about Wings Hypnosis, LLC, its services, or policies during or after our work together.

9. Independent Contractor Status

This Agreement does not create an employee, partner, or joint venture relationship. Wings Hypnosis, LLC is an independent business entity and free to work with other clients.

10. Limitation of Liability

Neither party is liable for lost profits, business interruptions, or indirect, special, or consequential damages.

Liability under this Agreement will not exceed the total fees paid.

11. Governing Terms

This Agreement is the full understanding between us and overrides any prior agreements.

Any changes must be in writing and signed by both parties.

If one part of this Agreement is found invalid, the rest remains enforceable.

You agree that this document has not been altered prior to your signing.

12. Acknowledgment

By signing, you confirm that you:

Have read and understood this Agreement, agree to all terms and conditions, and enter into this Agreement freely and voluntarily.

Signed: ________________________________________________________ Date: ______________________