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Guided Meditation Informed Consent Form

Informed Consent & Client Disclosure – Guided Meditation Services


Welcome. This document is intended to support clarity, comfort, and informed choice so you can decide whether guided meditation feels supportive for you.


1. Purpose & Legal Framework

Guided meditation services offered by Alan Joseph Prampin are provided in accordance with the California Health Care Freedom Act (SB 577) and California Business & Professions Code Sections 2053.5–2053.6, which allow alternative and complementary wellness services to be offered by non-licensed practitioners within defined guidelines.


These sessions are intended to support vocational or avocational self-improvement, personal insight, and overall well-being. They are not a substitute for medical, psychological, or psychiatric care.


2. Scope of Guided Meditation Services

Guided meditation sessions are tailored to individual needs and may include an open-ended number of private sessions.

Sessions focus on relaxation, mindfulness, clarity, and personal development Experiences and outcomes vary from person to person

No specific results or improvements are promised or guaranteed


3. Practitioner Disclosure (Non-Licensed)

Alan Joseph Prampin is not a licensed physician, psychologist, counselor, or healthcare provider. Guided meditation services are offered as complementary wellness support and do not diagnose, treat, or cure medical or mental health conditions. Clients are encouraged to consult a licensed healthcare professional for any medical or mental health concerns.


4. What Guided Meditation Is

Guided meditation is a collaborative process that may support focused attention, mindfulness, imagery, relaxation, and self-awareness.


During sessions:

* You remain fully aware and in control at all times

* Meditation does not replace your judgment or free will

* Common experiences may include relaxation, reduced stress, heightened awareness, or vivid imagery. Each experience is unique.


5. Your Responsibility

You understand that you are responsible for your own physical and mental health.

Guided meditation should not replace care recommended by licensed medical or mental health providers, and you agree not to discontinue professional care based solely on participation in these services.


6. Confidentiality

Your privacy is respected, and information shared during sessions is kept confidential to the extent permitted by law.

Disclosure may be required only in limited circumstances, such as risk of imminent harm, abuse, or a lawful court order.


7. Release of Liability

My intention in offering guided meditation is to provide a respectful, supportive, and client-centered experience. I understand that my participation in guided meditation sessions is voluntary and that I remain responsible for my own health and well-being.


To the fullest extent permitted by law, I agree to release and hold harmless Alan Joseph Prampin, including any associates or representatives, from claims or liabilities that may arise from my voluntary participation in these services, including claims of ordinary negligence. This release does not apply to rights that cannot legally be waived.


8. SB 577 Client Rights Disclosure (California)

Under California law, you have the right to know that:

These services are alternative or complementary to state-licensed healing arts services. The practitioner is not a licensed physician or mental health professional

Your participation is voluntary


By booking or attending a session, you acknowledge that you have read and understood this information and agree to participate willingly.


9. Training & Background (Non-Licensed)

Hypnosis/Meditation & Professional Development


Psychic Horizons – 3-Month Intensive Meditation Certification

Personal Instruction in Transcendental Meditation – Betty Jones

Hypnosis Course Certification – Dr. Karen E. Wells (CTAA & IHTCP accredited)

Hypnosis & the Law of Attraction – Hypnosis Motivation Institute

Everyday Bliss Program – Paul McKenna

Rapid Transformational Hypnosis for Abundance – Marisa Peer

Quantum Jumping Program – Burt Goldman


These trainings represent professional education and do not constitute state licensure.


10. Client Acknowledgment & Consent

By signing below, I acknowledge that:

I have read and understood this disclosure

I have had the opportunity to ask questions

I voluntarily consent to receive guided meditation services as described above


Typing my full name below serves as my electronic signature, equivalent to a handwritten signature.


Client Name: ________________________________

Date: ________________________________

Hypnosis Informed Consent Form

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