Jenna M. Shaffer

Meditation and Mindfulness Teacher and Certified Reiki Master

Jenna@santacruzmountainreiki.com (831) 508-0790

Please forgive the formality of this document, but California law requires me to provide you with certain written disclosures relating to our Intuitive and/or Reiki sessions.

Please carefully read this document. It contains: 

1) A Client Disclosure Statement regarding the nature of Reiki and my services

2) A Client Agreement, Acknowledgement & Consent to Receive Services ("Agreement").

Please sign and date the Agreement below and return it to me prior to our first Intuitive and/or Reiki session. If you have any questions or concerns, please feel free to contact me at the e-mail address or phone number listed above.

 

Client Disclosure Statement 

(In accordance with SB 577/California Business and Professions Code Sections 2053.5 and 2053.6)

Reiki is an ancient Japanese energy healing practice that promotes deep relaxation and stress reduction, thereby enhancing overall well-being and the body's innate self-healing ability.

Theory of Treatment of Reiki  

Reiki is rooted in the belief that life force energy (often called "ki" or "chi") flows through all living things and is responsible for maintaining balance and health in the body, mind, and spirit. Reiki practitioners believe that when this energy is blocked or disrupted, it can lead to physical, emotional, or spiritual imbalances, which may manifest as illness, stress, or discomfort. Reiki aims to restore the free flow of this life force energy, facilitating the body's natural relaxation response and self-healing processes. Reiki does not target specific symptoms. Instead, it is believed to address the whole person-body, mind, emotions, and spirit-aiming to restore overall balance and well-being.

Nature of Services Provided During a Intuitive and/or Reiki Session

During a Reiki session, the client is invited to lie down fully clothed on a comfortable treatment table, or to sit in a chair, in a calm and soothing environment.

The session begins with a brief consultation where the practitioner and client discuss the client's needs or areas of concern. Once settled, the practitioner gently hovers their hands above specific areas of the client's body, channeling life force energy to those areas. Common hand positions include over the head, shoulders, abdomen, and feet, but the positions can vary depending on the client's needs. Occasionally, if guided to do so, the practitioner will ask permission to gently place their hands on the client's shoulders, hands or feet, but only in a manner acceptable to the client. The hand positions are gentle and non-invasive, and the touch is light or hovering. There is no physical manipulation involved.

During the session, the practitioner holds the intention that Reiki balance and clear any blockages in the client's energy field (sometimes referred to as the "aura") or chakras. This is believed to help restore the natural flow of life force energy throughout the body and promote the body's natural relaxation response and self-healing process.

As the practitioner channels the Reiki energy, the client may experience sensations like relaxation, warmth, coolness, tingling, vibrating, a slight puling or rocking sensation, or nothing at all. The client should immediately notify the practitioner if they feel any discomfort during the session.

Afterward, the practitioner may provide feedback based on what they sensed during the session. The client is encouraged to relax, hydrate, and reflect on any shifts they notice in their physical, emotional, or spiritual well-being over the following days.

While many clients report feeling relaxed, calm and rejuvenated after sessions, results can vary. Although one session may be adequate, long-term imbalances in the body sometimes require multiple treatments to allow the body to reach the level of relaxation necessary to bring the system back into balance. Improvement often requires commitment on the client's part (e.g., willingness to make lifestyle changes) to fully benefit from Reiki.

If a client cannot be in person with the practitioner, sessions can also be performed remotely with the same results.

During an Intuitive Session clients will have the opportunity to talk, ask questions, and discuss their lives and life path.

What Reiki is Not

Reiki is not associated with any religion.

Reiki is not used to diagnose, treat, cure or prevent any physical or psychological illness or mental health disorder.

I am not licensed in the State of California or any other state or jurisdiction as a physician, psychologist, or other licensed health care provider, and my Reiki services are not licensed by the State of California.

Reiki is meant to compliment, not replace, psychiatric, psychological or medical treatment from healthcare professionals.

It is important that you understand that I do not medically diagnose or prescribe medical treatment of any kind. If you have a physical injury, disease, condition, or mental health issue or disorder, you should be under the care of a licensed health care professional. 

What Intuitive Sessions Are Not

Intuitive sessions not associated with any religion.

Intuitive sessions are not used to diagnose, treat, cure or prevent any physical or psychological illness or mental health disorder.

I am not licensed in the State of California or any other state or jurisdiction as a physician, psychologist, or other licensed health care provider, and my Intuitive and Reiki services are not licensed by the State of California.

Intuitive and Reiki sessions are intended and designed to compliment, not replace, psychiatric, psychological or medical treatment from healthcare professionals.

It is important that you understand that I do not medically diagnose or prescribe medical treatment of any kind. If you have a physical injury, disease, condition, or mental health issue or disorder, you should be under the care of a licensed health care professional.

Qualifications and Training

I am a Certified Reiki Master Teacher qualified to practice the method of Usui Reiki. I am eleventh generation in the Usui Lineage of Reiki. I completed the First Degree of Reiki in 2021, My Second Degree in 2022 and Master Teacher Degree in 2023 with Master Teacher Kristen

I am also a Certified Stress Coach through Udemy (completed in 2020) Certified Meditation and Mindfulness teacher (since 2020) with Mandy Trapp at Anchor Meditation. I have been certified as an Sensuous Wisdom™ Embodiment Facilitator with Denise Elizabeth Byron (since 2020

Confidentiality

All information shared during sessions is confidential and will not be disclosed without your consent, except as required by law. However, if sessions are conducted via Zoom or other electronic platform, please know that it is not possible to guarantee the confidentiality of information.

California Law - Senate Bill 577 (a copy of the Bill is attached hereto)

Since Reiki and Intuitive Sessions are non-licensed, alternative and complimentary healing techniques, SB 577, known as California's Health Freedom Bill, requires that I provide you with the information and disclosures contained in this Client Disclosure Statement. The law also requires that I obtain written acknowledgment from you stating that you have been provided with the information and disclosures. Accordingly, please sign, date and return this document to me prior to your first Intuitive and/or Reiki session. I will provide you with a copy of the signed document and maintain it in my records for three (3) years. 

Client Agreement, Acknowledgement & Consent to Receive Services ("Agreement") I acknowledge receipt of, have read, and understand the above information and disclosures contained in the Client Disclosure Statement regarding the Intuitive and/or Reiki session(s) that I will be receiving from Jenna M. Shaffer - Jenna Monaco International, LLC, DBA Santa Cruz Mountain Reiki, as well as her training and education. I understand that Intuitive and/or Reiki is an alternative and/or complementary, nontraditional technique. I have had full opportunity to investigate Intuitive and/or Reiki and its training and approaches and to ask Jenna M. Shaffer questions. I am freely electing to participate in Intuitive and/or Reiki session(s) with Jenna M. Shaffer. I understand that Jenna M. Shaffer is not a licensed physician, psychologist, or other licensed health care provider, and the alternative services (ie: Intuitive and/or Reiki sessions) that she will be providing to me are not licensed by the State of California. I acknowledge that Jenna M. Shaffer has provided me with a copy of Senate Bill 577 - California Health Freedom Act Bill. I understand that it is my sole responsibility to maintain a relationship with a licensed medical doctor and/or a mental health professional. I understand that Reiki is not a substitute for medical treatment or medications. I understand that Jenna M. Shaffer does not diagnose illness, disease or mental health issues, nor does she prescribe medications or recommend supplements. If I experience any discomfort during a Intuitive and/or Reiki session, I agree to immediately inform Jenna M. Shaffer. I understand that any information disclosed during my session(s) with Jenna M. Shaffer will be confidential, except as provided by law. I also understand that confidentiality may be limited if sessions are conducted over Zoom or other electronic platform. In consideration for receiving Intuitive and/or Reiki session(s) with Jenna M. Shaffer, I hereby fully release, hold harmless, discharge and waive all claims against Jenna M. Shaffer, her heirs, legal representatives and assigns from any and all claims or liability, known or unknown, of any nature whatsoever and for any damage or injury, personal or financial, emotional, psychological, physical or otherwise, arising from or in any way connected with my participation in such Intuitive and/or Reiki session(s This Agreement shall be binding on me and my heirs, legal representatives and assigns. I understand that Jenna M. Shaffer will conduct all Intuitive and/or Reiki sessions from/in the State of California. I consent to and agree that all aspects of my relationship with Jenna M. Shaffer in regard to my Intuitive and/or Reiki sessions and the resolution of any and all disputes arising from and in connection with that relationship, including any disputes arising under or in connection with this Client Disclosure Statement and Agreement, shall be governed by and construed in accordance with the laws of the State of California and the United States of America applicable therein (other than conflict of interest laws Further, I consent to and agree that the courts of the State of California shall have exclusive jurisdiction to hear any complaint, demand, claim, proceeding or cause of action, whatsoever arising from or in connection with my Intuitive and/or Reiki sessions with Jenna M. Shaffer, this Client Disclosure Statement, and this Agreement. Client Disclosure Statement and Client Agreement, Acknowledgment and Consent to Receive Services 

Jenna M. Shaffer Meditation and Mindfulness Teacher and Certified Reiki Master

Jenna@santacruzmountainreiki.com (831) 508-0790

I understand that Jenna M. Shaffer has no obligation to provide Intuitive and/or Reiki sessions to me and may discontinue providing sessions to me at any time in her sole discretion.

(If Client Under 18) Printed Name Legal GuardianSignature of Legal Guardian

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