operated by Quantum Healing Hypnosis Academy, LLC. By signing this form, I indicate my willingness to

allow my session story be written up and published.

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I understand my QHHT Practitioner agrees to not include any personally identifiable information in this session story. I understand I have the right to refuse a specific portion of my story to be included for this reason.

I understand I have the right to review the session story before it is published. I also understand I have the right to refuse to participate in the sharing of my story on either QHHT platform. I can change my mind at any time and cancel this permission in writing, but cancelling it will not affect any information that has already been released.

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I understand that I do not have to sign this form, and that I should only sign it if I want my QHHT Practitioner to share my story with someone.

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I understand Quantum Healing Hypnosis Academy is a US based global academy that teaches Dolores Cannon’s Quantum Healing Hypnosis Technique (QHHT). Blog articles and forum posts are used as educational and informational use only and are read by academy staff, QHHT practitioners, and the general public (blog) who are interested in the spiritual and metaphysical fields as related to the higher self.