Informed Consent & Agreement for Sessions with Dr. Cindy Sholes
Welcome to Mind Wave Institute. This document outlines the spirit of our work together and ensures mutual understanding. Please read it carefully and reach out if you have any questions.
About Your Guide
Dr. Cindy Sholes (Ph.D., MdH) is a neuroscientist trained at UCSF with a background in clinical hypnotherapy and over 20 years of experience supporting transformational growth. She is the founder of rREST®—a neuroscience-based technique for rapid reprogramming of emotional stress.
Dr. Cindy’s approach is integrative, drawing from neuroscience, hypnotherapy, and mind-body coaching. Sessions are collaborative and rooted in the latest research while honoring your unique lived experience.
❗Please note: Dr. Cindy is not a licensed physician or psychotherapist. She does not diagnose or treat medical or psychological conditions.
The State of California does not license hypnotherapists.
What to Expect in Sessions
• Sessions typically run between 50–60 minutes.
• Each session is custom-designed to meet your specific goals and needs.
• While outcomes often include greater clarity, emotional resilience, and a deepened sense of alignment, no specific result can be guaranteed.
• This work is not psychotherapy and is not intended as a substitute for licensed mental health or medical care.
Your Role in the Process
Clients under the care of other healthcare providers are expected to continue following their guidance, including prescribed therapies and medications. Choosing not to do so may disrupt our work together and could be considered a material breach of this agreement.
Confidentiality
All session content is held in strict confidence and will only be released with your written consent or as required by law.
Cancellation Policy
Your time is valuable—and so is mine. To honor the integrity of this work and the commitment you're making to yourself:
• Cancellations or rescheduling must be made with more than 25 hours' notice.
• If you miss your appointment, arrive late, or cancel/reschedule with less than 25 hours’ notice, you will be charged in full for the session with no refund.
This policy helps maintain the rhythm of your transformation and ensures availability for others on the path. Thank you for respecting this shared agreement.
Legal Agreement & Waiver
By entering into this agreement, you confirm:
• You are not using these sessions in connection with any legal action or attempt to recover or alter memories for court-related matters.
• You understand that under California law, using hypnosis to influence memory for legal testimony may be legally inadmissible.
• You agree to release, defend, and indemnify Dr. Cindy Sholes and Mind Wave Institute against any claims related to these sessions, including those involving memory recall or personal injury.
• You accept that this agreement is governed by the laws of the State of California. If any portion is found unenforceable, the remainder shall remain valid and in effect.
Informed Consent
By scheduling an appointment or checking the box to proceed, you acknowledge the following:
• You’ve read and understood this agreement in full.
• You accept that sessions are a collaborative process of personal growth—not a guaranteed cure or fixed formula.
• You release Dr. Cindy Sholes and Mind Wave Institute from any liability, except in cases of gross negligence or malpractice.
We are honored to walk with you on this journey.
This is a safe and sacred space for transformation. Your courage to explore what’s possible is already a powerful first step.
