Informed Consent Agreement And Client Contact Information Form For Energetic Transformation & Healing Sessions

 

Please read and agree to the following before participating in your session:

 

I request that Cathy Hazel Adams conduct sessions with me for the purpose of changing my mental and emotional energetic patterns in order to release energetic blockages and help me shift into my full potentials for an authentic, joyful, healthy, and fulfilling life.

 

I understand that:

-The sessions do not include physical manipulation of any kind.

 

-These sessions are not intended as diagnosis, prescription, treatment or cure for any

  disease, mental or physical, and are not intended as a substitute for regular or prudent

  medical care.

 

-My changes may be subtle and/or astounding, and may be apparent immediately a

 and/or manifest over days, weeks and months.

 

-More than one session may be needed to accomplish my best possible results:

 If my mental, emotional and/or physical difficulties are severe, chronic or long-standing,

 I understand that I am strongly urged to commit to 2 or 3 sessions to allow

 myself maximum opportunity to shift long-held and deeply entrenched patterns of

 thougth, emotion, expectation and experience.

 

-Every session and every client is different, and my changes will appear in the way

  that is exactly specific to me:  Cathy Hazel Adams cannot guarantee specific 

  results, or when and how they appear.

 

-I understand that Cathy Hazel Adams is a practitioner of intuitive, quantum

 multidimensional transformation and energy healing, and a Matrix Energetics®

 Certified Practitioner, and that she is not licensed by any state as a Medical or Mental

 Health Care Practitioner.

 

-I understand that the methods, procedures, tools and modalities used in these

 sessions are not part of any recognized religion.

 

-I understand that I am responsible for my own health, and for how I interpret and apply

 the concepts and information that may come up during our sessions, and for my own

 outcomes.  I release Cathy Hazel Adams, her heirs and assigns, and Cathy Hazel

 Adams, LLC, from all liability.

 

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CLIENT CONTACT INFORMATION (REQUIRED) AND INFORMED CONSENT AGREEMENT (Your personal information is confidential and will never be sold, shared or disclosed unless when and if required by law.)

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Specific results cannot be guaranteed, and I do not claim to treat, diagnose, prescribe, heal or cure, as by law only licensed medical practitioners are authorized to claim to do these things.  However, if you experience changes that feel miraculous to you, you are free to enjoy them and call them whatever you please.

 

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Copyright © 2014 - 2020 by Cathy Hazel Adams.  All Rights Reserved.

 

Not licensed by any state as a medical or mental healthcare professional

 

    

 

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