Contact Information:
My name is Martin Veen, Certified Hypnotist C.H.
I can be contacted through my website: martinveen.com
REQUIRED NOTICE (a.o. Canada):
As a.o. Quebec has not adopted any educational and training standards for the practice of hypnotism, this statement of credentials is for informational purposes only. Hypnotism is a self-regulating profession and its practitioners are not licensed by state governments. I am not a physician or a licensed health care provider and may not provide a medical diagnosis nor recommend discontinuance of medically prescribed treatments. If a client desires a diagnosis or any other type of treatment from a different practitioner, the client may seek such services at any time. In the event my services are terminated by a client, the client has a right to coordinated transfer of services to another practitioner. A client has the right to refuse hypnotism services at any time. Martin Veen C.H. does not treat, prescribe for, or diagnose any condition and is a properly trained facilitator of hypnosis and is not practicing any other profession that requires a license under the laws and regulations. subclinical purposes requires no referral. Martin Veen practices therapeutic hypnosis within the guidelines of the law.
Session fees (can vary per country and location): The charges for my services are: 120.00 Euro for initial visit of 1-1.5 Hours. Follow up sessions; Hypnosis sessions are 120 Euro each, Energy Treatment session are 60.00 Euro (30 min), Crystal Bed sessions are 30 Euro (30 mins), Akashic Records sessions are 75 Euro (60 mins). The Energy Treatment and Akashic Records sessions can be done both in-person and remove; the hypnosis and crystal bed sessions are only in-person. Payment is due in full at the time of service. I accept cash or personal check: A 35 Euro fee will be assessed for all returned checks. Services purchased through the website are subject to cancellation based on lack of payment and/or commitment of the user. The user purchasing a service through the website has the right to cancel the service with prior written notification within a 24 hour period. There will be no refunds once service has been provided. All prices are subject to change without notice.
The current fees will be honored for 6 months.
Cancellation Policy:
Your time slot is reserved exclusively for you. Please arrive promptly to obtain your full session. A 24-hour cancellation notice is required, except in an emergency or inclement weather. If you must cancel or reschedule
due to an emergency, please notify me as soon as possible. Thank you for your consideration.
Confidentiality:
I will not release any information to anyone without a written authorization from you, except as provided for by law. You have a right to be allowed access to my written record or a summary of my record about you.
MINORS:
Appointments for children under age 18 require written consent from the parent or guardian, who must accompany them at each visit.
INSURANCE:
I do not file insurance or any other third-party claims. Insurance companies usually consider hypnosis as an alternative therapy and therefore do not cover it. You will be provided with an insurance receipt if requested.
Medical Hypnosis:
Hypnosis is effective in relieving some medical conditions (i.e., pain management, migraines, IBS, etc.) but will
require a signed release from your doctor or appropriate health care professional to avoid masking symptoms before proper diagnosis and/or medical treatment has been obtained. Please see Hypnosis for Medical Conditions for more information and a convenient release form. Of course, non-medical issues (i.e., smoking, weight loss, confidence, etc.) will not need a form.
My approach NOTE:
I use hypnosis to motivate clients to eliminate negative or unwanted habits, facilitate the learning process, improve memory and concentration, develop self-confidence, eliminate stage fright, improve athletic ability, reduce/manage stress, focus on positive thoughts and desired outcomes, and for other social, educational and cultural endeavors. In general, I help people cope with the normal problems of everyday living by utilizing various techniques of hypnosis, Energy Treatments and progressive relaxation. Relaxation techniques can be learned which can reduce discomfort and improve certain health issues. I believe that thoughts and attitudes
can influence how we feel, and that hypnosis can help you change habits, focus on the positive, and visualize a state of wellness.
GUARANTEE AND REFUND POLICY:
No guarantees as to the effectiveness of hypnosis for your particular problem are made or implied. Therefore, no refunds for services are given. A hypnotist is considered a guide or facilitator and as such, invite you to allow yourself to be guided into a state of hypnosis. No one can make you do something against your true will. I sincerely want you to succeed and pledge my efforts to help you to the best of my ability.
I HAVE READ THE ABOVE INFORMATION AND I FULLY UNDERSTAND WHAT I HAVE READ.
I acknowledge receipt of a copy of this statement for future reference.
CLIENT CONSENT AND RELEASE:
I have been advised by Martin Veen the scope of hypnosis/Energy Treatment practice and I give my full consent to receiving hypnosis/Energy treatment sessions by Martin Veen. I understand that results vary and that the above name practitioner may not guarantee results. Hypnosis/Energy Treatments is not a replacement for medical treatment, psychological or psychiatric services or counselling. I also understand that the Hypnotist does not treat, prescribe for or diagnose any condition. I understand that the practitioner is a facilitator of hypnosis/energy treatments and is not practicing any other profession that requires a license under the laws of Quebec. I am aware and understand that in some cases it may be necessary for the practitioner to respectfully touch my body, shoulder(s), back, front, hand, wrist, or forehead in order to assist me in relaxation. I give the practitioner permission and consent to do so in order to help me establish a beneficial state. I have been advised that I am free to terminate any or all sessions at any time. I have agreed to participate in each session to the best of my ability. I have accurately provided background information as requested by the hypnotist. I understand that confidentially regarding my sessions will be honored between Martin Veen and me.
Signature of Client ____________________________________________
Date _________________
Printed name of Parent or Guardian ____________________________
Signature of Parent or Guardian__________________________________
Date_________________