Alternative Medicine Holistic Energy Therapist

Terms of Service
Consent Form

1. I understand that The Emotion Code, as well as the Body Code System, as taught by Dr. Bradley Nelson, Three Dimensional (T3) and angelic Reiki II healing (hereinafter called "these methods"), and as practiced by practitioner Thomas G Heintz, seek to identify and eliminate underlying imbalances by releasing energetic imbalances in the areas of energy, circuitry, pathogens, structure, toxicity, and nutrition. These methods of energy healing promote harmony and balance within, relieving stress and supporting the body's natureal ability to heal. Energy healing such as these methods is widely recognized as a valuable and effective complement to conventional medical care.
   
   
2. I understand that releasing trapped emotions, or the correction of any other energetic imbalance using these methods as practiced by practitioner Thomas Heintz, is not a substitute for medical care. This information is not intended as medical advice and should not be used for medical diagnosis or treatment. Information received is not intended to create any physician-patient relationship, nor shoud it be considered a replacement for consultation with a healthcare provider, nor is it meant to replace any medical treaments as ordered by any physicians nor any other medical care you have been advised to seek by them. I further understand that these methods are not a replacement for any professional psycho-therapeutic or counseling sessions in the treatment of any mental health issues or disorders.
   
   
3. I understand that if my practitioner makes any suggestions regarding supplementation of any kind, such as vitamins, minerals, herbal preparations, or any compounds or any other external remedy of any kind, that I use or ingest any such at my own risk, with the recommendation that I seek the advice of a physician before using any remedy suggested by my practitioner.
   
   
4. I understand that in approximately 20% of sessions, the release of trapped emotion(s) or other energy(s) may result in "processing," where echoes of the emotion(s) or other energy(s) released may manifest in temporary physical or emotional discomfort, and that this "processing" appears to be a normal part of regaining energetic balance.
   
   
5. I understand that my practitioner makes no claims as to healing or recovery from any illness I may have now, nor the prevention of any illness I may have in the future, and that no guarantee is made towards validity. I further understand that the use of any information I receive is at my own risk.
   
   
6. I understand that if I have health concerns, I am recommeded to seek advice from an appropriate medical practitioner before making any decisions about my health, and that this information is offered as a service and is not meant to replace any medical treatment.
   
   
7. I understand that these sessions are confidential, and that any personal information would be used anyonymously for educational and research purposes only, sugbect to any exceptions governed by laws of the State of residence of my practitioner Thomas Heintz, or of Federal laws and regulations, and that identifying personal information such as my last name and city will be deleated to maintain my privacy, unless required by law.
   
   
8. I understand that I am advised to be self-informed about this work by visiting Dr. Bradley Nelson's website: www.healerslibrary.com and/or practitioner Thomas Heintz's website: www.TheBodyEmotions.com and/or by reading Dr. Nelson's book The Emotion Code.
   
   
9. I understand that by agreeing to this Terms of Service form, I fully consent to participating in Emotion Code and/or Body Code and/or Three Dimensional (T3) and /or angelic Reiki II session(s) with practitioner Thomas Heintz.

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