Client Intake Form

  • Client Statement Of Responsibility And Liability Waiver

    Sometimes strong emotions memories or sensations arise and it is up to me (the client) to decide if I want to pause or stop or if i want to work through them and release them. by scheduling session to take full responsibility for my choices and release the practitioner from any liability regarding anything related to the session ,physically, emotionally or mentally.

    I agree to tell the session giver immediately and clearly if i’m experiencing pain, discomfort or want a pause or stop the session.

    I understand that the intention of this session is to bring about a profound integration of sexuality and spirituality, supporting a clear flow of chi through my body and a sense of oneness all that I am.

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  • Thank you ! Blessings for a wonderful session and/or series of sessions