Candescent Energy Informed Consent Form

Please note the form below is for reference only. All new clients will be presented with this document during booking for review and acknowledgement. This form contains important information about Energy Medicine and what you can expect during our session. Please read it carefully and note any questions you might have. 

GENERAL DISCLAIMER

By booking a session, you acknowledge that the services provided are complementary to any medical or psychological treatment you may be receiving. These services are not a substitute for professional medical advice, diagnosis, or treatment.

MY BACKGROUND AND TRAINING

I bring over 500 hours of experiential training and client session experience in the energy medicine field, conducting both virtual and in-person one-on-one sessions, along with group classes in Reiki and Eden Energy Medicine (EEM). My current energy medicine focused modality trainings & certifications: Reiki Master Practitioner & Teacher in Usui, Angelic & Crystal | Metatron Methods Practitioner | Soul Midwife | Tuning Fork & Sound Bowl Healing | Eden Energy Medicine Certification in progress (year 2). For a more detailed account of my background & training click here.

Instagram: @candescent_energy 

Website:  https://www.candescent-energy.com/ 

WHAT IS ENERGY MEDICINE?

Energy Medicine is an approach that involves balancing and restoring your body’s natural energies for the purposes of increasing your vitality, strengthening your mental capacities, and optimizing your health. 

MY ENERGY MEDICINE OFFERINGS:

Eden Energy Medicine (EEM): The Eden Method was developed by Donna Eden in the early 70s, a widely respected healer and pioneer in Energy Medicine who has performed over 10K sessions. EEM is a comprehensive set of techniques and protocols that works with 9 different energy systems including the meridians, chakras, aura, triple warmer, radiant circuits, Celtic weave, electrics, five rhythms and basic grid. It is hands on practice that identifies imbalances through a series of muscle testing or energy testing and works to bring the body back into balance and harmony. The use of magnets and or crystals may be utilized during your session. 

Reiki: is an ancient "laying on of hands" technique in which concentrated universal life force energy or chi is channeled to spur the bodies innate healing abilities. Reiki itself involves minimal physical connection as well as energy work in your auric field, and may include the use of aromatherapy, crystals and oracle cards depending on your needs. 

ENERGY MEDICINE IS NOT THE PRACTICE OF MEDICINE

Although Energy Medicine uses the term “medicine,” it does not imply that Energy Medicine practitioners are practicing medicine. Energy Medicine is a term used by many training programs that teach people how to assess and correct for energy imbalances in the body. Energy Medicine is not a substitute for the diagnosis and/or treatment of medical or mental health conditions by a licensed health care professional. If you have a disorder that has been diagnosed by a licensed medical or mental health professional or a condition that should be evaluated by a licensed health professional, my services should be used only in conjunction with your obtaining that care. I do not diagnose or treat medical or mental health disorders, nor am I trained or licensed to do so. Energy Medicine attempts to optimize the body’s overall health and vitality, but it is not to be used instead of appropriate care from a licensed professional.

OUR WORK TOGETHER

Confidentiality: Your intake form, medical history, and session experiences are confidential. Exceptions include:

  • When you instruct me to share information with other healthcare practitioners.

  • To prevent clear and imminent danger to yourself or others.

  • When legally required, such as by court subpoena.

  • If I work with your family member or friend, we will agree on what information can be shared.

Touch: Many methods I use involve touch to identify and shift energy imbalances. You will remain fully clothed except for your shoes. I will explain beforehand where I will touch, and you can inform me if you are uncomfortable. I will respect any request not to touch. Please note, there is less touch involved with reiki and instances where injury may prevent touch with EEM that we can work around or in the energetic field with the same effectiveness.

Potential Side Effects & Symptoms: While techniques are gentle and non-invasive, you may experience physical or emotional effects during or up to 48 hours after a session. While rare, side effects can include headaches, dizziness, nausea, temperature fluctuations, bursts of tension or pain and anxiety. These symptoms are often temporary and represent a shift or release of congested or irregular energy in your body. Inform me of any discomfort, and I can provide techniques to alleviate it. You are responsible for addressing your symptoms after the session, whether by informing me, booking another session, seeking another healthcare provider, or considering medical intervention.

Client Responsibility: By booking a session, you agree to the services provided and acknowledge responsibility for any experiences or effects during and after the session. It is your responsibility to provide relevant health information, such as chronic or acute illnesses. I am not liable for issues arising from failure to communicate relevant information.

Complaints & Concerns: Your comfort and satisfaction are important to me. If you have any complaints or concerns about your session, please feel free to discuss them with me at any time during or after your session. I am committed to addressing and resolving any issues to ensure you have a positive experience.

SESSION POLICIES & GUIDELINES

Payment: Payment for distance sessions is due upon scheduling. Payment for in-person sessions is due upon completion via Venmo, cash, card, or other agreed-upon method. Complete payment before leaving the office. Tips are welcome but not required.

Cancellation Policy: Cancel at least 24 hours before your appointment for a full refund. Cancellations within 24 hours are non-refundable, except in emergencies. If an emergency arises requiring rescheduling, choose a new session date/time within 24 hours. Failure to do so forfeits your payment by 50%. 

Health & Safety - Contagious Illness: In the interest of protecting the health and safety of all clients, if you are experiencing symptoms of a contagious illness (such as cold, flu, COVID-19, or other communicable diseases), please do not attend your in-person appointment. In such cases, I recommend rescheduling your session or switching to a virtual appointment. Energy Medicine involves close physical proximity at times, and it's important to maintain a safe and comfortable environment. If you feel unwell, I am happy to provide an alternative session format and will work with you to accommodate any needs during this time. Please inform me as soon as possible if you need to reschedule. Your health and the health of others are a priority, and I appreciate your understanding and cooperation in helping to create a safe space for all clients.

Clothing & Hygiene: Arrive clean and in loose, comfortable clothing for an effective session. Socks are required. Avoid makeup (face down work) and heavy perfumes or scents; deodorant is fine. 

ACKNOWLEDGMENT

Your signature indicates that you have read, understood, and agreed to the information in this document and have discussed any questions or concerns with me.