Energy Healing/Reiki Client Consent

Basic Definition of Energy Healing/Reiki

Energy Healing/Reiki is an energy therapy in which practitioners consciously use their hands in a heart-centered and intentional way to support and facilitate physical, emotional, mental and spiritual health and healing.

Energy Healing/Reiki is a holistic, complementary and integrative energy based therapy 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 is about sixty minutes, I will gently place my hands on or above the person’s fully clothed body noting any sensations or imbalances to assess the energy field. I then choose a Energy Healing/Reiki technique that is appropriate for your needs. This may include light physical touch or sweeping hand motion 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 Healing/Reiki. 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 Energy Healing/Reiki

Recent research studies suggest that Energy Healing/Reiki is effective for physical and mental relaxation, pain management, anxiety and stress reduction, and increasing one’s sense of vitality. Clients of Energy Healing/Reiki 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 for treatment of medical conditions and depression but I can make no specific claims regarding the results you may experience from a Energy Healing/Reiki session. Clients may request a list or summary of the numerous research studies done on Energy Healing/Reiki since the early 1990s.

Energy Healing/Reiki is a noninvasive energetic technique, still being researched by traditional science, and currently has no known detrimental side effects.

Current Healing/Educational Credentials

  • Angel Card Reader (CACR)
  •  Emotional Freedom Techniques (EFT) Practitioner
  •  Intuitive & Angelic Medium
  •  LifeForce Energy Healing Practitioner
  •  Ordained Minister in the Order of Melchizedek
  •  Personal Empowerment Coach currently enrolled
  •  Reiki Master

Confidentiality/Client Rights

Your experience during our sessions are confidential, and you have a right to view your files upon written request. Confidentiality is subject to the the following exceptions:

  1. You may instruct me to release information to other health care practitioners in writing.
  2. I may release information if subpoenaed or otherwise legally obligated or reasonable allowed to do so (including circumstances where there is clear and imminent danger to yourself or another person).
  3. Your confidential personal file is kept in a secure location and is retained for 4 years after you suspend services after which time all information will be destroyed in a proper manner.
  4. Your confidentiality is always subject to the usual exclusions dictated by state and federal laws and regulations.

Appointment Cancellation

Monette is committed to providing clients with exceptional care.  When a client cancels without giving enough notice, they prevent another client from being seen.

Please call me at (321) 236-0444 by 3:00 pm on the day prior to your scheduled appointment to notify me of any changes or cancellations.  To cancel a Monday appointment, please call me by 3:00 pm on Friday.  If prior notification is not given, you will be charged a fee of $35.  If you do not call or show up for your appointment, the full amount of your scheduled appointment will not be refunded or will be charged to your credit card.

Acknowledgement, Consent, Client Privacy Rights

I have read and understand the above disclosure regarding the services offered by Monette Mudie.

We have discussed the nature of the services to be provided including information that Energy Healing/Reiki 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 she is not a licensed physician. 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,  confidentiality, cancellation policy, and that experiences during these sessions are confidential, but subject to the usual exceptions governed by State or federal laws and regulations.

Except in the case of gross negligence or malpractice, I or my representative(s) agree to full release and hold harmless Monette Mudie from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s).

I fully consent to use the services offered by Monette Mudie by signing below:

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