QHHT Intake, Waivers, Agreements, and Policies

Please review the information below carefully. By booking the session, you are agree to fill out the intake and sign the Waiver, Agreements and Policies after you book your session.

By booking the session, you agree to the terms.

You can find those documents linked on the Booking Page HERE 

I understand and/or agree that:

  • I am participating in this hypnosis session by my own choice because I want to be here.
  • That I am not a patient, but a partner in my hypnosis experience.
  • My experience depends on my level of openness, communication and trust.
  • Any coaching and/or suggestions that may be made during this session are only informative and a part of a personal and/or educational or motivational purposes. Agnieszka “Angie” Navarrete is not a medical or mental health care professional and that she does not diagnose nor treat any type physical or mental condition.
  • The hypnosis session is exclusively for educational or informational purposes. It is not intended to be in any way used as medical or psychological advice as this can be only given by a medical professional or a mental health specialist.
  • Hypnosis is not intended to cure any specific condition. Agnieszka “Angie” Navarrete makes no claims of a cure for any disease or condition.
  • Hypnosis is not a substitute for medical interventions, body therapy, or psychotherapy. 
  • Information that comes through me is coming from me and the Higher Self, Soul, Subconscious, Higher Consciousness, etc.
  • My progress is my responsibility and involves how I care for myself physically, mentally, emotionally and spiritually.
  • Transformation is a process that can take time and individual results vary.
  • Each session is unique and its success depends on the client’s full cooperation and faith in the process.
  • During the interview process which takes at least 1-2 hours, we’ll be discussing personal matters of my life, my belief systems, health history, my childhood and other issues that may have an influence on my well-being. Agnieszka “Angie” Navarrete is not responsible nor will she be held responsible for any perceived negative consequence or result of any kind which is claimed to result from my participation in the hypnosis session.
  • The session will be digitally recorded. I understand that Agnieszka “Angie” Navarrete does not guarantee that the recording will be audible, fully intact, or usable. I will not hold Agnieszka “Angie” Navarrete responsible for any possible malfunctions during the recording process.
  • Facial obstructions including coverings of face or mouth will not be permitted during the session. I understand that it’s important that I can be clearly heard without any obstructions over my face or mouth.
  • I will provide Agnieszka “Angie” Navarrete with a list of questions to ask during the hypnosis session.
  • I give permission for Agnieszka “Angie” Navarrete to use session material in print and/or discussion. If Agnieszka “Angie” Navarrete uses the information in print and/or discussion, it will not be used in conjunction with my name or personal identifying information without my further written permission.
  • If I receive information from a Higher Consciousness, Higher Self, Soul, Subconscious, etc. in regards to any changes in my health protocol, I take full responsibility for those suggested changes and will take it upon myself to consult my health care provider/doctor if necessary.
  • The session is one on one meaning that observers, including children, are not permitted.
  • I will arrive to the session clean and showered.
  • I will not use fragrances before or during the session.
  • I will not hold Agnieszka “Angie” Navarrete responsible for any damages or injuries, physical or non-physical, where I may require her assistance.


____ (Initial) I agree to notify Agnieszka “Angie” Navarrete ahead of the hypnosis session of any pre-existing medical or mental health conditions or injuries. I understand that hypnosis is not suitable for certain mental health conditions such as psychosis or schizophrenia.


____ (Initial) I understand and agree to listen to the recording at least once within three days of receiving the recording (if applicable).


Cancellations, Rescheduling, No-Shows and Late Arrival Policy and Refunds


My signature below also indicates that:


  • I am agreeing to the cancellation, rescheduling, no-show and late arrival policy of Agnieszka “Angie” Navarrete, Quantum Gateways.
  • I understand that Agnieszka “Angie” Navarrete requires a 7 day cancellation and 48 hours rescheduling notice.
  • I understand that if I’m late to the appointment the hypnosis session cannot be extended beyond the originally allotted time and may be cancelled.


  • Delays beyond 30 minutes may result in a cancellation of my appointment. Timely arrival to the session is at utmost importance so please leave your house on time taking any traffic under consideration. I agree to contact Agnieszka “Angie” Navarrete to notify her of any late arrival.
  • The non-refundable retainer to book the session is $150.
  • Should there be a cancellation with less than 7 day notice, no refund will be given to the retainer of $150. If the client paid the amount in full, the remainder will be refunded minus any credit card or other processing fees (usually about 5%)
  • I may reschedule my session one time with a minimum 48 hour notice. Should I need to reschedule the session a second time, the retainer will be kept and I will need to pay the full price.
  • Should I not show up to the session at all, the retainer will not be refunded. In this case, I understand that it’s my responsibility to contact the provider.
  • I understand that should my hypnosis session not be successful, no refunds will be given.
  • I understand that should I choose to pay for the session via installments during the checkout using a third party agency, the installments will continue until the session is paid in full even if I cancel the session. No refunds can be given until the full session amount has been paid. The above conditions apply for refunds.



Inappropriate Behavior


I understand that:

____ (Initial) – Agnieszka “Angie” Navarrete can end sessions early due to any inappropriate actions, advances or hostile behavior made towards her. There is no refund in such situations.


  • This document remains valid unless I revoke it in writing.


       ____ (Initial) By signing this document, I understand and agree on behalf of myself, my dependents, heirs, administrators, legal representatives, and assigns, to release and hold harmless Agnieszka “Angie” Navarrete, Francisco Navarrete, Quantum Gateways and Moon Lotus Rising from any and all liability for any possible known and unknown side effects, illness, injuries, or death, and for any losses or damages relating thereto, however occurring, in relation to my participation in or information received in the hypnosis session. I understand that Agnieszka “Angie” Navarrete provides the service as an independent provider.


My signature below indicates that I have carefully read and reviewed this Document including any Agreement, Waivers & Releases, Cancellations, Rescheduling, No-Shows and Late Arrival Policies. I fully understand and agree to all of its terms and conditions.