Proven Transformations Agreement

🌟Welcome to Proven Transformations🌟

You've come at exactly the right time to get the most out of your life! Please complete the following forms to secure your spot in this Lead to Light program. I am so excited to take this journey with you!

Lead to Light Services Informed Consent

I understand that Lead to Light LLC offers holistic therapies and non-traditional complementary interventions such as Reiki, Alternative Healing, and Spiritual Life Coaching, all of which are intended to promote health and wellness, enhance relaxation, reduce pain, become relaxed and more comfortable with your own thoughts, letting go of tensions and apprehensions caused by stress, emotional barriers and physical/mental illnesses and offer a positive experience utilizing the concept of mind, body, and soul in treatment intervention.

I understand that my practitioner is a trained Wellness Practitioner, and is not a massage therapist, chiropractic doctor, registered nurse, registered dietitian, nor a medical doctor. I understand, the practitioner is not qualified to diagnose, treat, cure, prevent or assess any disease, disorder or condition. I understand, the practitioner is not qualified to prescribe medication or dietary alternatives.

I understand that holistic therapy interventions are not a substitute for medical treatment or medications, and that it is recommended that I concurrently work with my primary healthcare provider for any condition I may have. I am aware that the practitioner does not diagnose illness or disease, does not prescribe medications, and that spinal manipulations are not part of holistic therapy.

I wholeheartedly understand that following any set regimen does not promise any form or level of cure for any specific (or otherwise) condition. I promise to abide by any warnings or contra-indications given to me through consultation if products and services are used.

I understand that Spiritual Life Coaching will entail discussions based on spirituality and religion. I understand that all discussions are based on opinion and experience, and any conversation using the words God, Higher Power, Spirit, Universe, etc. is meant to be helpful, never offensive, and seeks to support me in my individual journey.

I understand that I am under no obligation to follow any recommendations for treatment given. I consent to my testimonial and/or image being used in marketing materials for Lead to Light LLC.

I have informed the practitioner of all my known physical and medical conditions, and I will keep the practitioner updated of any changes. I will notify the practitioner should I become pregnant of if I am trying to become pregnant.

I understand the practitioner and administrative staff may review my medical records and reports, but all of my records will be kept confidential and will not be released without my written consent.

I understand that any materials distributed to me are the property of Lead to Light LLC. I understand and agree that I will not duplicate, alter, or distribute any of these materials; I will utilize these materials as intended, for my personal, spiritual practice, not for financial gain.

I have read and understand this consent to treatment. I have been informed about the risks and benefits of holistic therapy procedures. I intend this consent form to cover the entire course of treatment for my present condition and for any future conditions for which I seek treatment.
By checking this box, I consent and understand that I may discontinue a session or sessions at any time. If I have been diagnosed by a licensed health professional as having any disease, injury or other physical or mental condition, I understand that I should inform the person who made the diagnosis, about the session I will be receiving, and whether or not I intend to discontinue any treatment or therapy which had been previously ordered, prescribed or recommended by a licensed health professional. I understand that by discontinuing any such treatment or therapy, I assume responsibility for any negative outcome resulting from discontinuing that treatment or therapy.
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Proven Transformations - Pay in Full (Best Value) Product Image

Proven Transformations - Pay in Full (Best Value)This is what we're known for! Join me for this nine-month journey towards balance and fulfillment. Includes: Ten 1:1 Standard Coaching Sessions, four 1:1 Extended Coaching Sessions, email/text support in between sessions with Personal Coach Access, customized take-home exercises, the Spiritual Starter Kit (Reiki-blessed Crystal Set, Shadow-work Journal, and Beginner's Meditation Guide), and half-price future sessions.

$1,699.00 one-time payment

Nine Monthly Installments Invest in your future with Proven Transformations! Join me for this nine-month journey towards balance and fulfillment. Includes everything in the Pay-In-Full option.

$211.00 for each month

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Terms Agreement:

I, {name17}, understand and agree with this contract, in its entirety. I confirm that I have read and understand this agreement, including sections, "Notice of Payment Structure," "Notice of Refund Policy," and, "Your privacy is important." I attest that I am of sound mind, over the age of eighteen, and fully authorized to enter into this agreement today, {date19}. I authorize Lead to Light LLC to process payments using the credit/debit card information I have provided. I authorize the first payment to be processed today, {date19}, using any and all information in this contract, and for any remaining payments to be processed in monthly increments, the second payment being processed one month from today.

Your privacy is important:

I understand that any personal information I provide will not be distributed and will be used solely by Lead to Light LLC. Payment information will always be protected using industry-leading encryption.

Notice of Payment Structure:

I understand I will be charged $200 as an installment fee, if I choose a payment plan. This fee is already calculated into your monthly payment. Upon choosing an Installment Plan, my next payment will be due one month from today, {date19}, and will be processed automatically using the credit/debit card I've provided. Installment payments will be automatically processed every month hereafter until the total of $1,699.00 plus any applicable fees, is paid in full.

Notice of Refund Policy:

I understand that I am eligible to receive a refund, less the cost of the Spiritual Starter Kit, which includes "Shadow-work Journal," "How-to Meditate" Guide, and Reiki-blessed Crystal Set (valued at $99). To receive a refund, I must request a refund request via email within 7 days of enrollment.
By checking this box, I agree to any terms listed in this document, including the above section, "Terms Agreement."
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