Client Declaration & Disclaimer
Please Read Carefully and Sign
Failure to FULLY COMPLETE your ELECTRONIC SIGNATURE will nullify this form and you will have to fill out a new one
1. I understand and agree that this and any subsequent energy therapy session with Lisa Malcolm will treat my energy field, but cannot help or cure with 100% guarantee or diagnose any medical or psychological condition or illness, or interfere in any way with any medical treatments from any licensed medical professional that I may be undergoing or have undergone in the past.
2. I understand that this is an energy healing treatment (as described in no. 1 above) that creates change in my energy field - not a psychic, medium or past-life reading. I also understand and agree that it's not possible for this treatment to harm me in any way physically or psychologically.
3. I understand that traumatic memories or emotional and/or physical detoxification symptoms can sometimes surface as a temporary effect of energy therapy (as described in no. 1 above) as a natural part of the healing process and that it’s strongly recommended to have my own sufficient support system in place (formal and/or informal) while undertaking this healing.
4. I understand and agree that any medical or psychological situation or emergency that may happen at any time during or after any energy therapy session with Lisa Malcolm is strictly coincidental and caused from pre-existing or other conditions not linked to her energy therapy in any case, and, therefore, she is not liable or responsible for it in any way.
5. By signing this form below and in proceeding with energy therapy treatments with Lisa Malcolm, I declare all of the above is acceptable, agreed upon and true.