Please be advised that we highly value your privacy, your personal information is kept private and confidential, any information provided below will never be shared without your express written consent unless your life is at serious risk of immediate danger.
Ancient Way Healing's Late Notice/Cancellation Policy
I understand that appointments must be cancelled more than 48 hours before the appointment time or else a fee will be incurred. A cancellation within 48 hours will incur a fee of $40.00, within 24 hours the cancellation fee is $65.00 and in the event of a no-show, no refund will be given for pre-paid appointments. For appointments that have not been prepaid you will be invoiced $75.00 as per our late notice/cancellation policy.
I, First Name* Last Name* understand that energy healing is a subtle form of therapy that is used to alleviate stress, help manage pain and increase deep relaxation. I understand that alternative therapies are intended to complement medical, psychological and physical treatments of all kinds. I understand that Ancient Way Healing cannot prescribe or perform medical treatment and that sessions are not intended to replace licensed medical professionals. I understand that Pranic Energy Healing practitioners do not diagnose conditions, nor do they prescribe or perform medical treatment, prescribe substances, nor interfere with the treatment of a licensed medical professional. I understand that Ancient Way Healing and its practitioners are not responsible for my actions past, present or future. I understand that although this treatment has little to no risk of harm that John Gray and Ancient Way Healing are not responsible for any injuries or accidents that could possibly occur during treatment or within the treatment space.(FOR DISTANCE PATIENTS): I, First Name Last Nameunderstand that the practitioner will be remotely sending energy to me for the duration of my energy healing session(s).First Name* Last Name* Date* Signature*
For patients under 18 years of age, the signature of a parent/guardian is required: I give consent forFirst Name Last Name to receive Pranic Energy Healing treatment.Name of parent/guardian: First Name Last Name Signature: Signature