Pranic-Healing-Client-Waver-for-People

Pranic Healing Client Waver/Authorization for People

All asterisk * marked fields are required

Enter your full name and date below to acknowledge agreement with this statement:

"I, [FULL NAME ENTERED BELOW], understand that the Pranic Healing session(s) commencing on [DATE ENTERED BELOW] is intended to provide relaxation, reduce stress, promote overall health and well-being. I understand that Pranic Healing practitioners do not diagnose conditions, prescribe medication, perform medical treatment of any kind or interfere with the treatment medical professionals."

Full Name*

Today's Date*

Check the box next to each statement to confirm you accept ALL of the statements.*

Check box to confirm agreement

1) I understand that Pranic Healing is not a substitute for medical care or medicine and that I may need to receive permission from my doctor in order to request Pranic Healing sessions.

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2) I understand that the session is totally voluntary, and I may choose to end the session for my animal at any time.

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3) I understand that the safety and care of myself is ultimately my responsibility.

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4) I understand that Pranic Healing can complement any medical care that I may be receiving. I agree that I will inform my practitioner of any significant health changes prior to future appointments. I also understand that the body has the ability to heal itself and to do so, complete relaxation is often beneficial. I acknowledge that long-term imbalances may sometimes require multiple sessions in order to facilitate the level of relaxation needed by the body to heal itself. I understand that Pranic Healing practitioners are providing pranic healing at my request and are not responsible for the outcome of the session. The length and results vary per each session.

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5) I authorize Theresa Luzzi to offer me Pranic Healing session(s).

Digital Signature*

Enter your full name again to act as digital signature to authorize the session.

Email Address*

Re-enter email address to confirm*