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Energy Healing Intake Form

Do you understand that it is advisable to see a qualified doctor if you suffer from a physical, mental or emotional problem?
Yes
No
Do you understand that a professional Energy Healer / Kundalini Activation Facilitator will not diagnose or recommend any form of treatment.
Yes
No
Do you take full responsibility for your own Healing Journey and agree that this session is not therapy and a replacement for medical treatment with a doctor.
Yes
No
Do you give me permission to work with your energy/subconscious mind energy *
Yes
No
Do you understand that if a request to The Karmic Board /The Lords of Karma is required that it will be facilitated as part of your Session?
Yes
No
We recommend that you eat light foods after an Activation. This is to limit purging possibilities. Can you commit to that?
Yes
No
Hydrotherapy – Drink plenty of water before & after a session is highly recommended & soaking in Epsom salt bath or Bathing your feet in Epsom salt for 15 minutes min (3 days) supports the body further detoxify. Can U commit to doing this?
Yes
No
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