Energy Healing Waiver

I hereby request and consent to an Energy Healing session. I understand that results are not guaranteed. I understand and am informed that in the course of treatment I may experience strong and possibly uncomfortable emotional reactions.  There are also some physical risks with treatment including, but not limited to swelling, skin irritation or discoloration, fainting and/or dizziness, and headaches. I understand that such reactions are unlikely and rare, but possible due to the detoxification process. 

I take responsibility to tell the practitioner about any health concerns I have about receiving treatment, and will inform the practitioner if I am subject to any epileptic or seizure disorders.

By signing below I fully understand the possibility of physical and/or emotional reactions and agree to receive the Energy Healing session. I intend this consent form to cover the entire current course of treatment, and any future courses of treatment that I seek.

I agree to abide by a 24 hours cancellation notice for any scheduled appointment. I understand I may be charged up to the full amount of the service for missed appointments or for any cancellations with less than a 24-hour notice. I understand that if I arrive late for an appointment, the session will end at the original scheduled time to prevent penalizing another client. However, if the therapist is late, they will fulfill the scheduled appointment length or offer a reasonable compensation.