Contact Information: If you need to contact me between sessions, the best way to do so is by phone (812-760-7011). Direct email at mongiovi@insightbb.com is second best for quick issues, such as arranging appointment times. I do not use email to discuss content related to our session(s), as email is not completely secure or confidential. Credentials: I hold a Bachelor’s degree in biology from Rollins College and a Master’s degree in music theory from the University of South Florida. I have completed the hypnotherapy certification core-curriculum of the National Guild of Hypnotists (NGH), consisting of 100 hours of training. As a Certified Hypnotist and Member of the NGH, I fulfill annual requirements of 15 hours continuing education credits to maintain active certification and keep my training at a high level. I have been certified as a licensed hypnotist through the Medical Licensing Board of the State of Indiana (License No. 38000105A). The Indiana Hypnotist Committee and all applicable laws were by dissolved effective July 1, 2010. Therefore, state license renewals are no longer generated. Reasonable Practice: The physical and mental well-being of each client is my prime consideration. I will use hypnosis with a client for a medical or mental disease only on written referral from an appropriately licensed medical or mental health professional, except when otherwise provided for by state law. I will withhold non-referred hypnotic services if a client’s behavior, appearance or statements would lead a reasonable person to believe that the client should be evaluated by a licensed health care professional, and will provide services to such clients only after evaluation and with the approval of the licensed health care professional. Notice: I AM NOT A PHYSICIAN AND DO NOT PROVIDE A MEDICAL DIAGNOSIS OR RECOMMEND DISCONTINUANCE OF MEDICALLY PRESCRIBED TREATMENTS. If you desire a diagnosis or any other type of treatment from a different practitioner, you have a right to coordinated transfer of services to another practitioner. Confidentiality: I maintain the confidentiality of all knowledge and information about a client that I may learn in the course of, or as a result of, the client-practitioner relationship. I will not tell anyone that you are my client, but you are welcome to tell anyone you wish that I’m your hypnotist. I may disclose information only when required by law or when authorized by those responsible for the client’s care. You have a right to be allowed access to my record(s) of our session(s). For your and my protection and records, sessions may be recorded. Social Media: I do not accept friend requests or group invitations from current or former clients, as this can compromise confidentiality and blur the boundaries of the therapeutic relationship Payment: I accept cash and check as payment. My fee is $120.00 per initial session and $90 for subsequent sessions. Package rates are available. Insurance: Most insurance companies do not cover hypnotic services. I do not file claims with insurance companies. However, I can provide you with a receipt if you wish to do so. Redress: I am a Certified Member of the National Guild of Hypnotists and practice in accordance with its Code of Ethics and Standards. If you ever have a complaint about my services or behavior that I cannot resolve for you personally, you may contact the National Guild of Hypnotists at P.O. Box 308, Merrimack, New Hampshire, 03054-0308, (603) 429-9438, to seek redress.
I have read and understand the Client Bill of Rights.