101 Healing Consent form
All healing modalities with Rhonda Johnson
The purpose of this consent form is to explain my intent as well as what you can expect of a healing session. My belief about healing is that each of us is our own healer, that healing comes from surrendering to the power within. I can assist you in your healing journey by being supportive, present, compassionate, and recognizing and directing you back to your "OWN" wisdom. I'll perform specific healing techniques, hands off AND hands on. These techniques balance, clear, and charge your energy field and system, releasing energetic blocks that lead to dis-ease, and enhance your body's natural healing potential. At any moment during the season you are uncomfortable, please inform me immediately. Self care is an integral part of your healing process.
During your session we may discuss if you so desire, the major stresses in your life, belief system, childhood, health history, habitual thoughts and patterns, traumas, and other issues that have influence on your emotional, mental, and physical well being. Confidentiality is assured.
At all times you're healing is your responsibility. I am available to be your committed listener, and support person in this process. I do not advise you to discontinue any medical treatment you may be receiving. My work is intended to be in harmony with any other healing work that you undertake, including traditional Western/Eastern medicine. Please feel free to discuss our work with your doctor. I am not a physician, and therefore do not diagnose disease or prescribe drugs. I serve as a Energy Healing Practitioner.
I work with the unconscious mind/collective consciousness as well as the conscious, so together we may achieve greater healing in the holistic sense, as it is possible to receive data that you yourself are unaware of.
If you are uncomfortable with this method, please let me know and other techniques will be used.
Regular Scheduled healing are beneficial as they continue the healing process, yet there is never an obligation to continue treatment. You should allow for 30 minutes a session.
I also do hour bookings, notification is needed for longer bookings. It is best to schedule some resting time alone afterward as some energy healing can be emotional (Depending on the individual). I ask for 24 hour notice if you need to cancel or change an appointment.
I have read and understand the above. (initials)................
Consent form for healing treatment with Rhonda Johnson (101 Healing)
I ...........................................................................................understand that Rhonda Johnson does not diagnose illness, disease, or mental disorder. Nor does she prescribe medical treatment or pharmaceuticals. It has been made clear that energy healing is not a substitute for medical examination or diagnosis and that it is recommended that I see a M.D for any physical or mental ailment. With this in mind I agree that Rhonda Johnson (101 Healing) cannot be held liable for any problems that might arise that I think could be attributed to the energy healing season. I have stated all of my known medical conditions to Rhonda Johnson and if necessary I will keep her updated on my physical, mental, and emotional health. I acknowledge that Rhonda Johnson is an Intuitive Energy Practitioner, and is in private practice (101 Healing) for the purpose of providing mental/emotional/physical and spiritual support using Intuitive Healing Techniques. I attest that I understand the nature of the treatment and freely elect to receive treatments. I release Rhonda Johnson (101 Healing) from any and all claims of malpractice, non-disclosure, or lack of informed consent.
Signed in agreement..................................................................................Date........................................................................................
All healing modalities with Rhonda Johnson
The purpose of this consent form is to explain my intent as well as what you can expect of a healing session. My belief about healing is that each of us is our own healer, that healing comes from surrendering to the power within. I can assist you in your healing journey by being supportive, present, compassionate, and recognizing and directing you back to your "OWN" wisdom. I'll perform specific healing techniques, hands off AND hands on. These techniques balance, clear, and charge your energy field and system, releasing energetic blocks that lead to dis-ease, and enhance your body's natural healing potential. At any moment during the season you are uncomfortable, please inform me immediately. Self care is an integral part of your healing process.
During your session we may discuss if you so desire, the major stresses in your life, belief system, childhood, health history, habitual thoughts and patterns, traumas, and other issues that have influence on your emotional, mental, and physical well being. Confidentiality is assured.
At all times you're healing is your responsibility. I am available to be your committed listener, and support person in this process. I do not advise you to discontinue any medical treatment you may be receiving. My work is intended to be in harmony with any other healing work that you undertake, including traditional Western/Eastern medicine. Please feel free to discuss our work with your doctor. I am not a physician, and therefore do not diagnose disease or prescribe drugs. I serve as a Energy Healing Practitioner.
I work with the unconscious mind/collective consciousness as well as the conscious, so together we may achieve greater healing in the holistic sense, as it is possible to receive data that you yourself are unaware of.
If you are uncomfortable with this method, please let me know and other techniques will be used.
Regular Scheduled healing are beneficial as they continue the healing process, yet there is never an obligation to continue treatment. You should allow for 30 minutes a session.
I also do hour bookings, notification is needed for longer bookings. It is best to schedule some resting time alone afterward as some energy healing can be emotional (Depending on the individual). I ask for 24 hour notice if you need to cancel or change an appointment.
I have read and understand the above. (initials)................
Consent form for healing treatment with Rhonda Johnson (101 Healing)
I ...........................................................................................understand that Rhonda Johnson does not diagnose illness, disease, or mental disorder. Nor does she prescribe medical treatment or pharmaceuticals. It has been made clear that energy healing is not a substitute for medical examination or diagnosis and that it is recommended that I see a M.D for any physical or mental ailment. With this in mind I agree that Rhonda Johnson (101 Healing) cannot be held liable for any problems that might arise that I think could be attributed to the energy healing season. I have stated all of my known medical conditions to Rhonda Johnson and if necessary I will keep her updated on my physical, mental, and emotional health. I acknowledge that Rhonda Johnson is an Intuitive Energy Practitioner, and is in private practice (101 Healing) for the purpose of providing mental/emotional/physical and spiritual support using Intuitive Healing Techniques. I attest that I understand the nature of the treatment and freely elect to receive treatments. I release Rhonda Johnson (101 Healing) from any and all claims of malpractice, non-disclosure, or lack of informed consent.
Signed in agreement..................................................................................Date........................................................................................