First Appointment Form
I, Jill Thomas, am a Certified Hypnotherapist and weight management consultant. I am not a California licensed mental health practitioner or physician and I do not provide psychotherapy or any other form of mental health service which would require a California state license, nor do I hold myself out to provide such services. I do not provide diagnosis or treatment of physical or mental conditions nor am I licensed by the state as a healing arts practitioner. Hypnotherapy is considered a complimentary healing arts service that is not licensed by the state. For individuals or small groups I provide individualized teaching, hypnotherapy and coaching designed to help people learn how to commit to and achieve their performance goals, and remove any barriers they have to success.
Hypnotherapy is not always a quick fix nor is it intended to be a replacement for medical or psychiatric care. Individual results vary and are influenced by a person's readiness, receptivity and commitment to creating lasting change.
While many clients achieve positive changes there is no guarantee that you will achieve the results you desire.
For your privacy we do not allow correspondence by text message. Phone call or email only please.
The information provided to you in the session is for general informational purposes only and is not intended or implied to serve as medical or therapeutic advice, diagnosis or treatment. You should not use this information to diagnose or treat any health issues, illnesses or diseases. Jill Thomas is not providing any medical or therapeutic advice. If you have or suspect you have a health or therapeutic problem, you should consult with your doctor or therapist.
Missed appointments are subject to forfeiture with no refund given. Arriving more than 20 minutes late for a session is considered a “missed” appointment.
We require 24 hours’ notice to cancel or change an appointment.
Payment is required at time of scheduling. Sessions purchased in a package can be used up to 1 year from purchase date.
I have read the above disclaimer and I am aware that Jill Thomas's consultations are intended to be educational and or performance coaching in nature and are not intended to be psychotherapy or any other type of licensed therapy services.
** If you have ever been diagnosed with borderline personality disorder, bipolar disorder or schizophrenia please call the office prior to your appointment.