• Chrysalis Healing & Wellness

    Thank you for your interest in Chrysalis Healing & Wellness. This confidential form helps me understand your needs to ensure a safe and supportive wellness session.
  • Format: (000) 000-0000.
  • What Type of session are you interested in? Click all that apply
  • Appointment
  • Do you currently have any of the following?
  • Where do you feel pain or discomfort?

  • Consent and Liability Waiver

    Please read carefully before agreeing.

    Chrysalis Healing & Wellness offers holistic wellness services including yoga, Reiki, energy work, introspection, and intuitive guidance intended to support relaxation, stress reduction, and personal wellness.

    These services are not a substitute for medical, psychological, or psychiatric care.

    By participating in a session you acknowledge:

    You are voluntarily participating in wellness services.

    You understand these services are not medical treatment.

    You will inform the practitioner of any injuries, conditions, or discomfort.

    You take full responsibility for your physical and emotional wellbeing during the session.

    You release Chrysalis Healing & Wellness and its practitioner from liability for injuries or damages that may occur during or after sessions.

    If at any time you feel discomfort, you agree to communicate immediately.

    Agreement 
    By typing my signiture and todays date below, I have read and agree to the consent and liability waiver above.

  • My Products

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    Session. Each session is a unique blend of yoga therapy, Reiki energy healing, and intuitive guidance to support relaxation, nervous system balance, and personal healing. Each session is personalized to help release tension, restore inner harmony, and support your unique path of transformation. 🦋
    Session

    Each session is a unique blend of  yoga therapy, Reiki energy healing, and intuitive guidance to support relaxation, nervous system balance, and personal healing. Each session is personalized to help release tension, restore inner harmony, and support your unique path of transformation. 🦋

    $77.00$77.00
      
    Total
    $0.00$0.00
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