Sound Therapy by Kim Jachim

269-838-2656  ~  kjachim@sbcglobal.net

Sound Therapy Consent Form 

Sound Therapy Healing uses vibration and intention to gently transition a person from his or her normal waking state of consciousness (beta) to a highly relaxed state of consciousness (alpha, theta and delta). In this relaxed state, a person’s own innate healing abilities are able to work more effectively to bring the person back into optimal vibrational alignment that enhances overall health and well-being.

As a Sound Therapy practitioner, I am not a licensed health professional. As such, I will not diagnose, prescribe substances, perform medical treatment, or interfere with the treatment of qualified physician or other licensed medical professional. The services I offer are considered complementary to traditional Western medical practices.

Each session lasts approximately 30-60 min. During this time sound healing instruments will be played to encourage a deep state of relaxation where a person’s own healing abilities may be activated. Please note that part of the session involves the placement of vibrating instruments near or on the body of which some give off very high or very low-pitched sounds. If you have reason to believe that these objects and the sounds they make may cause discomfort, pain, or injury, please, advise before the session begins.

Please wear comfortable clothing and bring or wear warm socks. For group sessions, please bring 2 pillows, 2 blankets, and a yoga mat.

I understand it is my responsibility to inform the practitioner if I have any of the following issues prior to any session: Epilepsy or Seizures, Pacemaker or electrical implants, currently pregnant, current broken bones, any devices, implants, fixtures, or prosthetics.

I understand that Kim Jachim is not a medical professional, so any service performed, the practitioners are not considered a substitute for medical examination, diagnosis or treatment.

I agree that it is my decision to have services performed by the practitioners, and I will not hold Kim Jachim liable for any actions performed within a session that may be contraindicated by personal Medical professional.

Privacy: No information about any client will be discussed with or shared with any third party unless expressly requested by client.