Consent and Release Form

Consent and Release

By signing below, I agree: It is understood the purpose of a Healing Session (including the following modalities: Intuitive energy healing, Coaching, Hypnotherapy, and Visualization) and/or other treatments used is not meant to diagnose or treat any illness, disease or any other physical or mental disorder, injury or condition.  This work is a supplement or addition to whatever treatment you are currently receiving or may seek in the future.  I understand my Intuitive Healer may not be either a licensed counselor or a licensed health practitioner/provider/physician.  I have not come to my Intuitive Healer for medical advice, diagnosis and/or treatment. I have informed my Intuitive Healer about my state of health and I have transmitted to her/him any recommendations and restrictions on the part of my medical doctor or therapist. I agree that my Intuitive Healer shall not be held liable for any claim, demand or cause of action of any kind resulting from or related to the participation in such Healing session(s). I have sought this spiritual service combined with spiritual counseling of my own free will. Client understands Practitioner’s services are consultative in nature and that decisions made, and actions taken, based on input or advice from Practitioner, are ultimately the complete responsibility of the Client. Client further understands Practitioner shall have no liability or responsibility for any actions of Client taken (or not taken) in connection therewith.  Practitioner makes no guaranties or warranties, expressed or implied, as to results to be achieved, or as to the consequences of any actions taken or not taken by Practitioner.

Your information and our Healing Sessions are held in the strictest confidence. Your Intuitive Healer will not share or discuss your information with anyone.

Cancellation Notice:  24-hour notice is required for cancellation. Cancellation may be made directly to your Intuitive Healer.  Missed sessions or cancelled sessions without 24-hour notice will result in a cancellation fee of half the session cost.

Consent and Release Form

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