Moonlight Yoga

Denver

Distance Reiki Consent

By signing up for a Distance Reiki session, you are consenting to treatment for yourself and understand that the services provided by the practitioner, Jennifer Balsiger, are intended to enhance relaxation and increase communication within the body.

You understand that these services are not a substitute for medical treatment or medications. You are aware that a diagnosis is not given and medication is not prescribed. You agree to continue to have regular medical checkups as part of your overall healthcare plan.

You understand that participation is voluntary and at all times you may choose to end your participation. You understand that you may experience “healing reactions” during the 24 to 48 hours following the services provided.

You understand that any information exchanged during any session is educational in nature and is to be used at your own discretion. You also understand that any information imparted during these sessions is strictly confidential in nature and will not be shared with anyone without my written permission. You do, however, give the practitioner consent to use your case history and results without using your name. You understand that only the practitioner, Jennifer Balsiger, will have access to information in my file to enhance your healing.

You understand that by providing this informed consent you am assuming full responsibility for my services and you hold harmless both the practitioner, Jennifer Balsiger, and Moonlight Yoga Denver LLC.