EMPOWERED HEALING HUB

Your Therapist Bestie

 

 Emma Mcwilliam

7 Birdwood Avenue,

Cowes, VIC, AUS.

ABN: 17707944060

 

Liability Waiver and Release

One-on-One Therapy Sessions

 

I {printedName} am here to inspire my own personal transformation and change or I am the parent or legal guardian of someone under legal consenting age and I am answering on their behalf.

I take full responsibility for my life and decisions before, during and after the healing session/workshop/class that is planned to be undertaken.

I understand that all services provided by Emma Mcwilliam are complementary healing modalities that in no way substitutes for medical or psychiatric interventions. I also understand that Emma Mcwilliam may make suggestions for self-care as well as appropriate referrals which I can choose to follow through at my own will.

I understand that all clinical information provided and records of healing treatments etc. will be kept confidential and will not be released without my written consent and that it is not the responsibility of Emma Mcwilliam to seek medical intervention on my behalf.

I have carefully read this agreement and fully understand its content. I am aware that this is a waiver and a release of potential liability against Emma Mcwilliam of Empowered Mama and a contract between the above noted parties and myself.

I acknowledge that open communication is promoted between myself and Emma Mcwilliam to enhance mutual understanding and acceptance of the psychotherapeutic and energetic healing work provided during the treatment setting.

I understand that each healing session is different and is based on what the client needs as determined by Emma Mcwilliam during communication prior to and during the session. I understand that most sessions will be done lying down and that gentle touch may be used where necessary to assist in shifting energy. 

I understand that I can always tell the practitioner to stop at any time should I feel uncomfortable in any part of the session. I have been informed that energy medicine is a generally safe method of treatment, but that shifts in energy occur and may create some physical, emotional, or spiritual side effects which may include physical tingling, feeling lighter energetically, mild fatigue, nausea, muscle soreness, headache, thirst, changes in relationships, shifts of perception, etc.

I understand that results are not guaranteed. I hold my Healing Practitioner harmless from any possible effects that may cause temporary physical or emotional discomfort and agree to take full responsibility for my self-care and personal development

I have carefully read this agreement and fully understand its content. I am aware that this is a waiver and release of potential liability and a contract between the above noted parties and myself. I understand that this contract is binding and acknowledge that I am signing this of my own free will.