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Services - Healing Touch

Healing Touch Consent Form

BeverLi Joi & Patti Caputo

SPIRALS

 

Status and Scope of Practice

Bio-Energy work is a gentle, complementary, energy based approach to health and healing that can assist in bringing a body to its natural state of wellness.  We do not diagnose or treat disease and we are not physicians.  These sessions are not a substitute for diagnosis or treatment from a qualified health practitioner for illnesses, injuries, or other medical conditions.  Our services are not licenses by the state of WA and our practice is guided by the Healing Touch Code of Ethics and Standards of Care.

 

Basic Definition

With energy therapy the practitioners consciously use their hands in a heart-centered and intentional way to support and facilitate physical, emotional, mental and spiritual health and healing.

 

Our practice is a holistic, complementary and integrative energy based practice that is accomplished through the practitioner’s use of contact and/or non-contact touch and a heart-centered state of being.  The healing traditions of many cultures emphasize the importance of subtle energy systems that flow through and around the human body, affecting its health and vitality.  Many of these traditions stress that balancing these energy fields can assist the body, mind and spirit in moving towards and maintaining wellness.

 

Description of a Session

During a session (which can vary in length averaging thirty to sixty minutes), I will gently place my hands on or above the your fully clothed body noting any sensations or imbalances to assess the energy field.  I then choose a technique that is appropriate for your needs.  This may include light physical touch or sweeping hand motions above the body.  There is a high likelihood that you will experience the relaxation response during the session.  A feedback discussion will follow.  People have many different responses to energy sessions.  Some clients feel nothing at all.  Others describe sensations of moving energy, deep relaxation, feelings of being supported and nurtured, or visions of images and colors.  Some patients experience an emotional release such as tears; some have what they consider to be a spiritual experience or they may develop insight into specific areas of their lives.

 

Benefits of Bio-Energy Work

Recent research studies suggest that Healing Touch is effective for physical and mental relaxation, pain management, anxiety and stress reduction, and increasing one’s sense of vitality.  Clients of Healing Touch typically report experiencing the relaxation response and often report an increased sense of well-being and peace.  Many have reported positive experiences that have helped them better cope with illnesses, medical protocols fro treatment of medical conditions and depression but I can make no specific claims regarding the results you may experience from a Healing Touch session. 

Confidentiality

Client information & records are treated in a confidential manner.  Experiences during these sessions are confidential subject to the usual exception governed by State or federal laws and regulations.

 

ACKNOWLEDGEMENT, CONSENT, CLIENT PRIVACY RIGHTS

 

I have read and understand the above disclosure regarding the services offered by BeverLi Joi and Patti Caputo and other practitioners at Spirals.  We have discussed the nature of the services to be provided including information that bio-energy work is a holistic complementary and integrative energy based therapy that is accomplished through the use of contact and/or non-contact touch.  I understand that they are not licensed physicians and that their services are not licensed by the state of WA.  I understand it is my responsibility to maintain a relationship for myself with a medical doctor, if I so desire.  I further understand that the above named is not trained to diagnose illness, make recommendations involving pharmaceutical drugs or surgery, or handle medical emergencies.

 

I have read and understand the above disclosure regarding privacy policies and confidentiality. 

 

My questions have been answered to my satisfaction regarding my provider’s background, a bio-energy session, and what I might expect from this session.

 

I fully consent to use the services offered at Spirals by signing below:

 

 

Signed:___________________________________________Date:________________

 

 

 

Print Name:____________________________________________________________

 

 

 

Address:_______________________________________________________________