Allergy Clearing

Allergy Clearing Consent Form

1. I understand that the energetic treatment of allergies as practiced by the practitioner listed below seeks to identify and reduce or eliminate underlying imbalances and intolerances. This method of energy healing promotes harmony and balance within, supporting the body’s natural ability to heal. 2. I understand that the correction of any energetic imbalance using this method as practiced by the practitioner listed below is not a substitute for medical care. This information is not intended as medical advice and should not be used for medical diagnosis or treatment. Information received is not intended to create any physician-patient relationship, nor should it be considered a replacement for consultation with a healthcare provider, nor is it meant to replace any medical treatments as ordered by any physicians nor any other medical care you have been advised to seek by them. 3. I understand that if my practitioner makes any suggestion regarding supplementation of any kind, such as vitamins, minerals, herbal preparations, or any compounds or any external remedy of any kind, that I use or ingest any such at my own risk, with the recommendation that I seek the advice of a physician before using any remedy suggested by my practitioner. 4. I understand that this work may result in “processing” which may manifest in temporary physical or emotional discomfort, and that this “processing” appears to be a normal part of regaining energetic balance. 5. I understand that my practitioner makes no claim as to healing or recovery from any illness I may have now, nor the prevention of any illness I may have in the future, and that no guarantee is made towards validity. I further understand that the use of any information I receive is at my own risk. I agree that my practitioner will not be held liable for any health/medical issues, problems, conditions, diagnosis, or results, and that I am solely responsible for my life and decisions. 6. I understand that if I have health concerns, I am recommended to seek advice from an appropriate medical practitioner before making any decisions about my health, and that this information is offered as a service and is not meant to replace any medical treatment. 7. I understand that these sessions are confidential, and that any personal information would be used anonymously for educational and research purposes only, and that identifying personal information such as my last name and city will be deleted to maintain my privacy, unless required by law. 8. I understand that by checking the box, “I accept,” I fully consent to participating in sessions with this practitioner.