Please read the State required information below
New Client Information
Important
Please read the State required information below.
New Client Information
The following document shall be provided to each new client and must be signed before the start of the first appointment. The undersigned Client acknowledges that s/he has been informed of the following information:
Gabriel Petersen (hereafter referred to as \”hypnotherapist\”) agrees to provide professional services in accordance with acquired training and experience giving undivided attention during scheduled consultations to facilitate Client\’s benefits. Hypnotherapist\’s work is Client-centered. Services provided utilize induction of hypnosis, and methods and principles used to help clients discover their inner creative abilities to develop positive thinking and feelings and to transform undesirable habits and behavior patterns. Therapeutic goals are to achieve freedom from restrictive thought and belief systems, to assist in solving personal problems, developing motivation and achieving goals. Client may be taught the use of self-hypnotic techniques to assist in achieving goals and resolving issues that have been mutually agreed upon by Client and Hypnotherapist. Hypnosis is not a state of sleep, but is a natural state of mind that can produce extraordinary levels of relaxation of mind, body and emotions. The principles and theories upon which hypnotherapy is based are accessing and utilizing the power of one\’s inner resources. Hypnosis can transcend the critical, analytical level of mind, and facilitate the acceptance of suggestions, directions and instructions desired by the Client. The therapeutic use of Hypnosis can also elicit information and insights from the inner mind. The hypnotherapist utilizes interviews, discussion and hypnotic methods dealing with underlying issues whenever appropriate, with the goal to achieve effective and lasting results.
Services to be provided do not include the practice of medicine, as Hypnotherapist is not a licensed physician. These services are non-diagnostic, and are complementary to the healing arts services that are licensed by the state. The California State Legislature has determined that state licensing may not be conferred upon an occupational group for purposes of status or prestige. The primary purpose of licensing laws for legally defined Healing Arts and Mental Health professionals is to protect public health and safety. The Legislature finds that these non-medical complementary and alternative services do not pose a known risk to the health and safety of California residents, and that restricting access to those services due to technical violations of the Medical Practice Act is not warranted. Accordingly, Hypnotherapists are not issued licenses by any State Governmental Agency to engage in their professional services.
I understand that these sessions are not psychotherapy but are a therapeutic alternative aimed at creating positive changes in my life. I agree to inform Dane Petersen of all physical or mental conditions that might affect his work with me. I understand that I am a full partner in creating changes and am willing to participate during my sessions and to complete any home assignments.
I, Dane Petersen, have acquired the following education, training, experience, and qualifications to perform the services offered to my Clients:
Certified Advanced Hypnotherapist, Palo Alto School of Hypnotherapy
Certified Clinical Hypnotherapist, Palo Alto School of Hypnotherapy
Certified Medical Hypnotherapist, Palo Alto School of Hypnotherapy
Certified Milton Erickson, Ericksonian Hypnotherapy, Palo Alto School of Hypnotherapy
Certified EFT, Emotional Freedom Technique Palo Alto School of Hypnotherapy
Neurolinguistic Programming, NLP, Palo Alto School of Hypnotherapy
Additional Studies:
3 Principles of Mind, Consciousness, and Thought...Health Realization, Sydney Banks
Psycho-Cybernetics, Maxwell Maltz
Mind-Body-Spirit Connection, multi-modalities
Meditation - Mindfulness
Yoga
Studied multiple preliminary tools used in Eye Movement Desensitization and Reprocessing - EMDR.
Head and Neck Cancer Radiation Research for Relaxation, and Mind, Body Connection for Treatment and Healing.
Phobias and Anxiety Research and practical application for cure.
Music Therapy
Teacher
Lecturer
Started practicing in 2012.
Please read the State required information below.
New Client Information
The following document shall be provided to each new client and must be signed before the start of the first appointment. The undersigned Client acknowledges that s/he has been informed of the following information:
Gabriel Petersen (hereafter referred to as \”hypnotherapist\”) agrees to provide professional services in accordance with acquired training and experience giving undivided attention during scheduled consultations to facilitate Client\’s benefits. Hypnotherapist\’s work is Client-centered. Services provided utilize induction of hypnosis, and methods and principles used to help clients discover their inner creative abilities to develop positive thinking and feelings and to transform undesirable habits and behavior patterns. Therapeutic goals are to achieve freedom from restrictive thought and belief systems, to assist in solving personal problems, developing motivation and achieving goals. Client may be taught the use of self-hypnotic techniques to assist in achieving goals and resolving issues that have been mutually agreed upon by Client and Hypnotherapist. Hypnosis is not a state of sleep, but is a natural state of mind that can produce extraordinary levels of relaxation of mind, body and emotions. The principles and theories upon which hypnotherapy is based are accessing and utilizing the power of one\’s inner resources. Hypnosis can transcend the critical, analytical level of mind, and facilitate the acceptance of suggestions, directions and instructions desired by the Client. The therapeutic use of Hypnosis can also elicit information and insights from the inner mind. The hypnotherapist utilizes interviews, discussion and hypnotic methods dealing with underlying issues whenever appropriate, with the goal to achieve effective and lasting results.
Services to be provided do not include the practice of medicine, as Hypnotherapist is not a licensed physician. These services are non-diagnostic, and are complementary to the healing arts services that are licensed by the state. The California State Legislature has determined that state licensing may not be conferred upon an occupational group for purposes of status or prestige. The primary purpose of licensing laws for legally defined Healing Arts and Mental Health professionals is to protect public health and safety. The Legislature finds that these non-medical complementary and alternative services do not pose a known risk to the health and safety of California residents, and that restricting access to those services due to technical violations of the Medical Practice Act is not warranted. Accordingly, Hypnotherapists are not issued licenses by any State Governmental Agency to engage in their professional services.
I understand that these sessions are not psychotherapy but are a therapeutic alternative aimed at creating positive changes in my life. I agree to inform Dane Petersen of all physical or mental conditions that might affect his work with me. I understand that I am a full partner in creating changes and am willing to participate during my sessions and to complete any home assignments.
I, Dane Petersen, have acquired the following education, training, experience, and qualifications to perform the services offered to my Clients:
Certified Advanced Hypnotherapist, Palo Alto School of Hypnotherapy
Certified Clinical Hypnotherapist, Palo Alto School of Hypnotherapy
Certified Medical Hypnotherapist, Palo Alto School of Hypnotherapy
Certified Milton Erickson, Ericksonian Hypnotherapy, Palo Alto School of Hypnotherapy
Certified EFT, Emotional Freedom Technique Palo Alto School of Hypnotherapy
Neurolinguistic Programming, NLP, Palo Alto School of Hypnotherapy
Additional Studies:
3 Principles of Mind, Consciousness, and Thought...Health Realization, Sydney Banks
Psycho-Cybernetics, Maxwell Maltz
Mind-Body-Spirit Connection, multi-modalities
Meditation - Mindfulness
Yoga
Studied multiple preliminary tools used in Eye Movement Desensitization and Reprocessing - EMDR.
Head and Neck Cancer Radiation Research for Relaxation, and Mind, Body Connection for Treatment and Healing.
Phobias and Anxiety Research and practical application for cure.
Music Therapy
Teacher
Lecturer
Started practicing in 2012.
Disclaimer for Your Path To Wellbeing Website
If you require any more information or have any questions about our site's disclaimer, please feel free to contact me by email at [email protected] I am happy to answer your questions.
Disclaimers for Your Path To Wellbeing:
All the information on this website - YourPathToWellbeing.com - is published in good faith and for general information purpose only. Your Path To Wellbeing does not make any warranties about the completeness, reliability and accuracy of this information. Any action you take upon the information you find on this website (Your Path To Wellbeing), is strictly at your own risk. Your Path To Wellbeing will not be liable for any losses and/or damages in connection with the use of our website. Dane Petersen, founder and sole wellness practitioner at Your Path To Wellbeing, is not a medical doctor and does not diagnose or prescribe medications, or practice medicine or psychotherapy. Dane Petersen is a Certified Clinical and Medical Hypnotherapist with certification issued by Palo Alto School of Hypnotherapy, and abides by the rules and regulations set forth by the State of California regarding certifications vs. licensing.
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