Participant Release Form
LifeSpark Cancer Resources
I have registered to participate in the LifeSpark Program. I am fully aware of my emotional, physical and mental condition at the time of services offered and will communicate this as necessary to the program staff.
I understand that most staff members are volunteers and not employed by LifeSpark Cancer Resources. I also understand that the LifeSpark Provider is not licensed, certified or registered by the state of Colorado as a health care professional. This provider will be offering either Reiki or Healing Touch, which are gentle hands-on wellness therapies. The LifeSpark Provider has received a minimum of two levels of training in either Healing Touch or Reiki, has performed a minimum of 50 sessions, and has participated in an 18 hour training program from LifeSpark for the purpose of providing sessions for LifeSpark. We ask that you discuss any recommendations made to you by the Provider with your primary care medical professional. LifeSpark carries professional liability insurance.
I understand that the information from my session and information that I share with the LifeSpark Provider will be kept confidential unless I disclose that I intend to harm myself or someone else.
In consideration for participation in the program, on behalf of myself, my heirs, administrators and assigns, I hereby completely release and discharge LifeSpark Cancer Resources, its employees, officers and agents, volunteers, Healing Touch providers, and Reiki providers from any claim for any loss or injuries which may rise from my participation in the program. I will not sue LifeSpark.