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Please Consent

Complete the form below to agree to terms before booking your session.

Consent Required

Please complete the consent form before booking your session.

Full Name

Email Address*

I understand that Reiki and Hypnotherapy are complementary wellness modalities intended for relaxation, stress reduction, and system optimization

I consent

I acknowledge that the practitioner is not a licensed physician, psychologist, or psychiatrist. These sessions are not a substitute for medical diagnosis, physical examination, or psychological counseling. I have been advised to consult a licensed healthcare professional for any physical or mental health conditions. I understand that no specific results or "cures" are guaranteed.

I acknowledge

I, the undersigned, agree to take full responsibility for my own well-being during and after the session. I hereby release the practitioner from any and all liability, claims, or causes of action arising out of my participation in these sessions, including any perceived physical or emotional changes.

I agree

I have read and understood the refund policy: Full Refund: Requires at least 24 hours’ notice prior to the scheduled session time. No Refund: Cancellations made with less than 24 hours’ notice or "no-shows" are ineligible for a refund.

I accept

I consent to the collection of my personal information for the purposes of session tailoring and progress tracking. All personal data and session notes are handled with strict confidentiality and stored in compliance with standard data protection protocols. Information will not be shared with third parties without my explicit written consent, except where required by law.

I consent

By signing below, I confirm that I have read this document in its entirety, understand its contents, and voluntarily agree to the terms stated above.

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