Before completing the New Client Registration form, please read through the policies and agreements below. Checking the boxes on the registration form confirms that you have read, understood, and agree to each of these.

Payment, Refund, and Cancellation Policy

I understand that CentrePoint, Inc. is a non-profit organization, that health insurance will not cover services, and fees paid are not tax deductible. I understand that agreed upon fees for services provided by Wendy Hill, Ph.D./CentrePoint, Inc. are to be paid in advance of service. I give Wendy Hill, Ph.D. permission to charge my credit card without signature if I am not present or if I should default on agreed upon fees or fail to appear for a service. Should any disagreement arise from my sessions with Wendy Hill, Ph.D., I agree to arbitration as a sole instrument of resolution (see Arbitration Agreement below). All payments received for services and/or products are final and not subject to refund. I understand that I have the right to receive a signed copy.

Policy for all workshops and trainings: all workshops and trainings have a non-refundable deposit which is collected upon registration. Other paid fees are non-refundable if cancellation occurs within two weeks of the workshop or training start date.

I agree to make any appointment changes 48 hours in advance to a service, or relinquish fees paid.

Client Information and Agreements

CentrePoint, Inc. is a non-profit organization that offers hypnotherapy, psychotherapy, spiritually based counseling, classes, workshops, and events, and that insurance will not cover services.
I understand that participating in workshops and/or sessions offered by Dr. Wendy Hill and associates can be emotional. I understand that I will be offered the experience of hypnosis, regression, and psychotherapeutic techniques that may cause me to react emotionally and/or bring back traumatic or emotional remembered or forgotten experiences from the past, including childhood, infancy, and/or womb experiences. I take full responsibility for my health and well-being, and I make sure that I arrange for outside support from a licensed therapist or M.D. if I should have emotional, mental, or physical reactions.
To the best of my knowledge, I do not have any serious physical, mental, or emotional disorders, or if I do, I have disclosed them (along with any current medications and treating doctor or therapist) on the registration form.
I understand that sessions may include history taking, emotional release, and meditative states.
To get the most benefit from a workshop experience, participants are asked not to consume any stimulants or use alcohol or other recreational drugs on the day of the workshop.

Therapist-Client Arbitration Agreement

Between Client and CentrePoint, Inc. and/or Wendy Hill, Ph.D.

Article 1 — Agreement to Arbitrate: It is understood that any dispute as to malpractice, that is as to whether any services rendered under this agreement were unnecessary or unauthorized or were improperly, negligently, or incompetently rendered, will be determined in the state of California by submission to Arbitration as provided by California law, and not by a lawsuit or resort to court process except as California law provides for Arbitration proceedings. Both parties, by entering into this agreement, are giving up their constitutional rights to have any such dispute decided in a court of law before a jury or through a judge, and instead are accepting the use of Arbitration. Nothing in this agreement should be construed to prevent the parties from trying to mediate any disputes before arbitration.

Article 2 — All Claims Must Be Arbitrated: It is the intention of the parties that this agreement bind all parties whose claims may arise out of or relate to treatment or service provided by the therapist, including any spouse or heirs of the client and any children, whether born or unborn, at the time of the occurrence giving rise to any claim. All claims for monetary damages exceeding the jurisdictional limit of the small claims court against the therapist, and the therapist’s partners, associates, association, corporation or partnership, and the employees, agents and estates of any of them, must be Arbitrated including, without limitation, claims for loss of consortium, wrongful death, emotional distress, or punitive damages. Filing of any action in any court by the therapist to collect any fee from the client shall not waive the right to compel Arbitration of any malpractice claim.

Article 3 — Procedures and Applicable Law: A demand for Arbitration must be communicated in writing to all parties. The parties shall first try to agree on an Arbitrator. If they are unable to do so within 60 days, each party shall select an Arbitrator within thirty days, and a neutral Arbitrator shall be selected by those Arbitrators within thirty days of a demand by either party. Each party shall pay their pro rata share of the expenses and fees of the neutral Arbitrator and other Arbitration expenses, not including counsel or witness fees. The parties agree that Arbitrators have the immunity of a judicial officer from civil liability when acting in that capacity. Either party may Arbitrate separately the issues of liability and damages upon written request. Provisions of California law applicable to health care providers shall apply, including but not limited to Evidence Code Sections 1115 through 1128.

Article 4 — General Provisions: All claims based upon the same incident, transaction, or related circumstances shall be Arbitrated in one proceeding. A claim shall be waived and forever barred if it would be barred by the applicable California statute of limitations, or if the claimant fails to pursue the Arbitration claim with reasonable diligence. With respect to any matter not expressly provided for, the Arbitrators shall be governed by the California Code of Civil Procedure provisions relating to Arbitration. All claims and/or proceedings will be venued in the County of San Diego, California.

Article 5 — Revocation: This agreement may be revoked by written notice delivered to the therapist within 30 days of signature acceptance. It is the intent of this agreement to apply to all services rendered at any time for any condition.

Article 6 — Retroactive Effect: This agreement is intended to cover all services rendered before the date it is signed. If any provision of this Arbitration agreement is held invalid or unenforceable, the remaining provisions shall remain in full force and shall not be affected by the invalidity of any other provision.

By submitting the registration form and checking the agreement box, I acknowledge that I have read or have access to this Arbitration Agreement, and I agree to have any issue of malpractice decided by neutral Arbitration, giving up my right to a jury or court trial. Authorized Therapist: Wendy Hill, Ph.D., President, CentrePoint, Inc., 4407 Manchester Ave., Suite 103, Encinitas, CA 92024.