INFORMED CONSENT AND DISCLAIMER
for a SESSION WITH BONNIE
IF YOU WANT TO SCHEDULE A SESSION, PLEASE PRINT OUT THIS PAGE AND
SIGN IT, THEN SEND THE SIGNED PAGE ALONG WITH YOUR CHECK, TO THE
ADDRESS ON THE "Healing Sessions" PAGE. THERE ARE MORE DETAILED
INSTRUCTIONS ON THAT PAGE. THANKS.
This is to inform you of the nature of my work, my qualifications to
practice, and how the healing work will be conducted.
I am a certified Reiki Master, and am certified in Light Touch
Metaphysical Healing and in Christa Spiritual Healing. I am an ordained
InterFaith Minister through the Colorado Interfaith Seminary. I was a
member in good standing of the American Association of Psychic
Counselors, while that organization existed. I have studied other forms
of energy healing as well, including the Perelandra Processes,
kinesiology, flower essences, herbs, homeopathy, massage and
Cranio-sacral Therapy, among others.
I am not a physician. I do not diagnose or treat any conditions, nor do I
prescribe anything. I may occasionally offer information about lifestyle
changes or techniques that others have had success with, which you
may choose to consider or not. I will speak the information that comes
to me intuitively, from within the state of prayerful connection, which may
shed some light on hour situation. This represents my intuitive feelings
and perceptions, and is not to be construed as fact or instructions.
Please use your own discernment regarding this information: use it or
discard it according to your own personal preferences.
I will assess your energy system and help you to release physical or
emotional or mental energy blocks and belief systems that are
interfering with your personal growth and health, preventing you from
creating your desired life experiences. I will bring healing energy
through my hands, through deep prayer, using techniques to create the
connection. I will use my hands in your energetic fields, both on and
around your body, in an appropriate way.
During the session you will be fully clothed except for shoes, and will be
lying on a treatment table or sitting in a chair.
We may discuss issues in your life that have an influence on your
physical, emotional, mental or spiritual wellbeing. This information and
the content of our work together will be kept confidential, unless you
give permission for me to discuss elements of your situation with
another practitioner.
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I have chosen to receive care for the enhancement of my wellbeing only.
I understand that if there is any indication of a physical, emotional or
mental disorder, I will consult the appropriate health practitioner.
I have read and understand the above statements, and agree to them. I
also understand that no guaranteees or promises of cures have been or
will be made to me, and that any benefits which I may experience
originate from within my own inner healing abilities.
_________________________________ ________________
Name (print very,very clearly) Date
____________________________________
Your Signature
