Disclosure, Consent and Liability Agreement for a Session with Karen Hellman, Owner of Spiritual Warrior Woman, LLC

A “session” can refer to one or more of the following: Reiki, One Light Healing Touch, Akashic Record Reading, Family Constellation, Young Living Essential Oils, BioMat, Massage Therapy, Myofascial Release, Craniosacral, Personal/Home or Business Clearing or Trauma Touch Therapy.

By signing below, I hereby represent and agree as follows:

• I understand that a “session” is not a psychic reading and is not meant to tell the future or give the understanding or impression that it can be used to create specific outcomes in healing or circumstance.

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• I agree that this “session” is being undertaken with my full permission and that I am responsible for any mental, emotional, physical and spiritual healing that may or may not occur as a result.

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• I am over 18 years of age or I am the parent or legal guardian of the subject of the “session” and wish to obtain a “session” as well.

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• I understand that Karen Hellman is not engaged in the practice of medicine. The practice of medicine means the diagnosis, treatment, operation, or prescription for any human disease, pain, injury, deformity, or other physical or mental condition. I understand that she has no formal training in medicine, psychology or psychiatry and is not a medical doctor and does not diagnose disease.

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• During the “session”, a list of suggestions may be given, but I agree that before undertaking any suggestions, I will consult with my physician or other health care practitioner whose care I am currently under.

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• I acknowledge by signing this form that I have not been hospitalized for psychiatric reasons within the last three years.

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• I promise to carefully read this form before and after the session.

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• I understand that a “session” is not a medical diagnosis, medical treatment, medical advice or psychotherapy, diagnosis or offers a cure for any condition. It cannot be seen as a replacement for licensed medical professional help.

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By providing the information below you are accepting the terms of this agreement.

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