I acknowledge that distance healing based on craniosacral therapy and somatic bodywork is not a substitute for medical examination, diagnosis, or treatment or for qualified mental health care. Because body-oriented modalities should not be performed in the case of certain medical conditions, I affirm that I have disclosed all my known medical conditions and release my practitioner from liability for adverse reactions related to any disclosed or undisclosed conditions. I take full responsibility for informing my practitioner of any changes in my health status. Understanding all of this, I give my consent to receive care.