Consent for Telepsychology and Online Hypnotherapy

Your typed name below, will act as your signature and acceptance of this form.

Consent to Telepsychology and Online Hypnotherapy:

I understand that my online counseling and hypnotherapy sessions with Dr. Eimer will be conducted using virtual meeting software such as Zoom. My signature below attests to the fact that I accept the terms and conditions below. I give Dr. Eimer my informed consent to provide counseling, psychotherapy and clinical hypnosis to me, and that I accept the terms and conditions given below.

I have read and understand the terms as stated on the Informed Consent For Telepsychology & Online Hypnotherapy. Click here to read Informed Consent for Telepsycholology.