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Agreement of Services

JOURNEYS TO HEAL Inc.

Hypnotherapy, Breathwork, Life Coaching, NLP, EFT, PLRT, QHHT, Kambo, & Energy Healing w/ Kristine Ovsepian M.A.,C. Ht.

303 N. Glenoaks Blvd Ste. 200 Burbank CA 91502 ~ (818) 605-0089 ~ Kristine@JourneysToHeal.com ~ JourneysToHeal.com

AGREEMENT OF SERVICES

Please read and acknowledge your understanding of the following explanation of services. The State of California requires that you read, sign, and receive a copy of this full disclosure.

PLEASE PRINT YOUR CONTACT INFORMATION

Have you Received Energy Therapy Before? YesNo

Have you Been Hypnotized Before? YesNo

_________________________________________________________________________________

FOR OFFICE USE ONLY

Fees:

First Session: 1.5 hour session on a sliding scale $450 - $500 / Regular $550 (includes additional $50 Yelp/Referral Discount)

Additional Sessions: 1 hour session on a sliding scale $300 - $350

PLRT/QHHT - $550 / Regular $600 (includes $50 Yelp/Referral Discount) - 2 hour sessio

_________________________________________________________________________________

PAYMENT

Session fees are non-refundable and are subject to change.

Payment is due in full, at least 48 hours prior to the appointment time/date.
Journeys to Heal does not bill.

Journeys to Heal accepts Visa, MasterCard, Discover, & American Express
Payments by credit card will appear on statements as: "Kristine Ovsepian / Journeys to Heal."

J.T.H. does not submit to insurance. If the clients insurance company covers hypnotherapy/energy healing/or other modalities offered by JTH, payment is still required at the time of service. The client is responsible for submitting their claim to the insurance company for any possible reimbursement.

PHONE SESSIONS

Credit card payment is required at the time of the clients’ phone session.
The client is responsible for any phone charges they may incur.

APPOINTMENTS

To cancel or re-schedule an appointment, a 48 hour notice by phone is required.
You will be charged a full session fee or a minimum of $250 for late cancelled appointments, or if you miss an appointment without cancellation.

AUDIO COPIES

The client may be given an audio copy of the hypnotic part of their session, as a positive reinforcement tool. This copy is for the clients’ personal use only. Never use it when driving or during any activity which requires your conscious or wide-awake attention.

TERMINATION CLAUSE

Journeys to Heal Inc. (JTH) its employees, and members are committed to providing a safe, respectful, and effective therapeutic environment. This contract outlines the terms under which JTH reserves the right to terminate services and release clients.

Pursuant to California Business and Professions Code Section 2908, the licensed healing arts provider Journeys to Heal Inc and or Kristine Ovsepian MA., CHT may terminate this agreement if there is a determination that continued services could compromise the practitioners or the clients well-being, or if the practitioner cannot legally or ethically continue providing services. Such termination shall be made after reasonable notice or consultation with the client.

Pursuant to California Business and Professions Code Section 2053.6, in the event that such treatments are discontinued, the practitioner may provide an opportunity to transition to other appropriate care or services if necessary.

Upon termination, the client shall be responsible for all fees incurred for services rendered up to the date of termination. No further fees shall be charged beyond the effective date of termination.

Grounds for Termination of Services:

Journeys to Heal Inc reserves the right to cancel any ongoing contracts and release clients from the therapeutic relationship under the following conditions:

Abuse or Harassment:

Any form of physical, verbal, or emotional abuse, including but not limited to threats, harassment, or derogatory behavior directed at therapists, staff, or other clients.

Disrespect for Therapist’s Time:

Repeatedly missing scheduled sessions without prior notice. Chronic tardiness without legitimate explanation. Failing to honor financial obligations related to services rendered.

Non-Compliance with Therapeutic Goals:

Persistent disregard for agreed-upon treatment plans or recommendations, significantly impacting the therapeutic process.

Endangerment:

Any behavior that jeopardizes the safety or well-being of the therapist, other staff members, or other clients.

Violation of Company Policies:

Failure to adhere to the policies and terms outlined in Journeys to Heal Inc client agreement.

Notice of Termination:

In the event of termination JTH and its member(s) will communicate with the client, outlining the reason(s) for termination.

JTH will, if appropriate, provide referrals to alternative services to ensure continuity of care.

Acknowledgment of Understanding:

By signing below, the client acknowledges that they have read, understood, and agreed to the terms of this contract. The Client also understands that adherence to these guidelines is crucial for maintaining a healthy therapeutic relationship.

Confidentiality Clause:

Termination does not waive the confidentiality agreement between the therapist and client, ensuring sensitive information remains protected.

Emergency Protocols:

Immediate termination in cases where the client poses a danger to themselves or others and outline steps for emergency intervention.

Technology Policy:

If sessions involve teletherapy or virtual sessions there will be no recording, without the clients consent.

Amendments to the Contract:

Journeys to Heal Inc and its members reserve the right to update this contract.

CLIENT ACCEPTANCE AND AGREEMENT

Except in the case of gross negligence or malpractice, I or my representative(s) agree to fully release and hold harmless Kristine Ovsepian, Journeys to Heal from and against any and all claims or liability whatsoever or nature arising out of or in connection with my session(s).

I, the undersigned, acknowledge that I have received a copy of this Agreement for Services. I also acknowledge that I have read, understand, and agree to the above terms and conditions for services of this self-improvement program.

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December 13, 2024 1:56 pm PDT

Agreement of Services Uploaded by Casper Blackwell - casper@heartlightdigital.com IP 97.107.177.135

February 3, 2025 12:04 pm PDT

Document owner casper@heartlightdigital.com has handed over this document to kristine@journeystoheal.com 2025-02-03 12:04:10 - 97.107.177.135