1. Nature of Services
I understand that the Services may include, but are not limited to:
Massage or bodywork
Energy healing or spiritual healing practices
Guided meditation, breathwork, or ceremonial rituals
Emotional or spiritual support
I acknowledge that these Services are holistic and complementary in nature and are not a substitute for medical, psychological, psychiatric, or professional healthcare services.
2. No Medical Diagnosis or Treatment
I understand and agree that:
The Practitioner does not diagnose, treat, cure, or prescribe for any physical or mental health condition.
The Services are not intended to replace care from a licensed medical or mental health professional.
I am responsible for seeking appropriate medical or mental health care when needed.
3. Personal Responsibility
I acknowledge that my participation is voluntary, and I take full responsibility for:
My physical, mental, emotional, and spiritual well-being during and after the Services
Communicating any discomfort, boundaries, medical conditions, injuries, pregnancy, medications, or concerns prior to and during the session
Choosing whether to continue or stop the session at any time
4. Massage & Physical Contact Consent
If the Services include massage or physical touch:
I give my informed consent to receive therapeutic touch for the purpose of relaxation, healing, and well-being
I understand that no sexual or inappropriate touch will occur
I may withdraw consent or request modifications at any time without explanation or penalty
5. Emotional & Energetic Release
I understand that healing and ceremonial work may bring up emotional responses, memories, or sensations. I acknowledge that such experiences are a normal part of holistic healing and agree to take responsibility for my integration and aftercare.
6. Confidentiality
The Practitioner agrees to maintain confidentiality regarding my personal information, except where disclosure is required by law (such as risk of harm to self or others).
7. Release of Liability
To the fullest extent permitted by law, I hereby:
Release, waive, and discharge the Practitioner from any and all liability, claims, demands, or causes of action arising from my participation in the Services
Agree that I am participating at my own risk
8. No Guarantees
I understand that individual results vary, and no guarantees or promises have been made regarding outcomes or results.
9. Indigenous & Ancestral Medicines; Sacred Space & Professional Boundaries
I acknowledge that certain Services may include the optional use of Indigenous, ancestral, or traditional plant- and earth-based medicines or ceremonial practices, offered in alignment with respectful cultural lineages and healing traditions. I understand that the intended benefits, possible side effects, contraindications, and personal considerations of any such medicine or practice will be discussed with me in advance, and that my participation is always voluntary. I further acknowledge that all Services are provided within a sacred, professional, and ethically held space, guided by love, care, integrity, and respect. Any physical presence or touch, when offered, is intentional, appropriate, consensual, and strictly non-sexual, and is never to be considered, implied, or misconstrued as anything other than professional healing work conducted in alignment with the Practitioner’s authentic healing path and code of ethics.
Consent & Agreement
I confirm that:
I am at least 18 years of age (or a legal guardian has provided consent)
I have read and fully understand this agreement
I agree to participate willingly and knowingly