General Waiver, Release of Liability, and Authorization for Energy Work
  • General Waiver, Release of Liability, and Authorization for Energy Work

  • *Please Read Carefully Prior to Signing*

    I authorize Leila Tober to serve me in the capacity of Quantum Touch Practitioner, to provide energy healing work within the bounds of her certification. (Definition of Services attached)

    I understand that Quantum Touch should not be construed as a substitute for appropriate medical and or mental health care. Nor does it diagnose, prescribe, or treat for any physical and/ or mental illness. Leila Tober is not a mental health care therapist, professional

    counselor, licensed clinical social worker, marriage and family therapist, psychologist, psychiatrist, massage therapist or medical practitioner or nurse. Nothing she says or does should be construed as such.

    I take 100% responsibility as to what to apply and/or not apply in my life regarding anything she says and/or does @ anytime and even stopping the session(s) if I feel to do so. 

    I take 100% responsibility for my medical and/or mental healthcare choices and all consequences resulting from those choices and/or actions taken with respect to any information received from, by or through Leila Tober.

    I understand that all information received and given is kept strictly confidential. That includes with my spouse, my family and my friends, as well as Leila Tober’s spouse, her family, her friends and/ or colleagues. Leila Tober will never talk about specific issues in a way that links me with the information – though at times, Leila Tober may use my experience(s) as a completely anonymous example to help other people in client sessions, and/ or articles on the internet or elsewhere. Leila Tober may consult an associate regarding me, but only as an anonymous client. (Note: If you have any questions or concerns about this, let Leila Tober know prior to signing this document and she will accommodate you and make note of your desires.) 

    I have read the above statements and in no way hold Leila Tober, her family, heirs, trustees, assigns, employees, staff, or assistants responsible at any time for any actions I may take because of information shared, energy work received by myself during the energy healing session(s).

    I represent and certify that my true name and identity is written above and signed below, that I am who I say that I am, and if I am under the age of 21 years, I do represent and certify that I have the permission of my parent(s) and/or legal guardian(s) to participate in the stated activities and that they have full knowledge thereof.

    Furthermore, I understand that any illicit or sexually suggestive remarks and/or advances will result in immediate termination of the energy healing session(s) without any refund.

    I, the undersigned have read this form completely and agree to and understand all of its contents.

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  • Agreement for minor: I the legal guardian of  the minor, give Leila Tober permission to perform energy healing work for the above referenced Minor Child.

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  • Quantum-Touch is a method of natural healing that works with the Life Force Energy of the body to promote optimal wellness. Life Force Energy, also known as ‘chi’ in Chinese and ‘prana’ in Sanskrit, is the flow of energy that sustains all living beings. The practitioner uses specific breathing and body awareness techniques to create a powerful, yet natural field of healing energy. The healer of this method is the person whose body is healing. For example a person may get a cut, the body then uses its life force energy to heal that cut, meaning, that person is the actual healer.

    In Person Session (30 – 60 min) $35 for 30 min/ $65 for 60 min/ $10 more each 10 min increment (max 90 min session). 

    Client is encouraged to drink 8 ounces prior to the session and a minimum of 8 ounces after the session. Restroom facilities are available at session location.

    Client is asked to sit, stand, or lie down during the session, depending on what the client prefers. Leila will then ask about the areas of concern from the client and begin the session.

    The session includes a light touch on areas which are inflicted with concern without any physical manipulation of the body, (no touching will ever occur near or around client’s private areas

    Leila then focuses on raising the level of vibration around those areas, so that the body’s innate desire to heal will then match the raised vibration. This continues until the session time is complete.

    Leila then discusses with the client any feedback and/ or questions that the client may have in regards to the session.

    Distance Session 1/2 hour: $25 and 1 hour: $55 sessions. Located where client is and has access to a phone, text or email.

    Leila Tober calls, texts or emails client prior to session asking the client for areas of concern. Client agrees to be in a quiet place where there are no distractions. Client agrees to have at least 8 ounces of water which will be consumed during the session.

    Leila is also in a location of no distractions for the duration of the session. She then focuses on the areas of concern and raises the level of vibration around those areas, so that the body’s innate desire to heal will then match the raised vibration. This continues until the session time is complete.

    Leila then calls, texts or emails the client, to receive any feedback from the client and also discuss any questions that the client may have.

    What to expect during and after a session:

    All clients experience varying results during and after a session. During a session some clients can feel the energy around them and through them. Majority of Leila’s clients, after a session, feel an intense feeling of peace and greater clarity of thought.

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  • For more information regarding Quantum Touch, please visit their website www.quantumtouch.com

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