Informed Consent/Hold Harmless Agreement for Treatments, Classes & Events.
I understand that Long Island Healing Arts & Learning Center Sessions are complimentary healing modalities that in no way substitutes for medical interventions, body therapy, or psychotherapy.
I also understand that the Healing Practitioner may make suggestions for self-care as well as appropriate referrals.
I acknowledge that an open communication is promoted between me and my Healing Practitioner to enhance a mutual understanding and acceptance of the energy work provided during the treatment setting.
I further understand that there are numerous benefits possible through the sessions offered, such as diminished pain sensation, increased relaxation, relief from anxiety and enhanced sense of well-being. These effects may vary depending on each individual’s response patterns. Although there are no known harmful effects from this type of intervention, I hold my Healing Practitioner harmless from any possible effects that may cause temporary physical or emotional discomfort and agree to take full responsibility for my self-care and personal development.
I am in control of my own body and I can always “stop” at any time.
Client Authorization & Signature
Include your name and authorization in the below section.