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Energy Healing Consent & Liability Waiver

Reiki & Energy Healing

Birthday
Month
Day
Year
Have you had a Reiki or Energy Healing in the last year?
Yes
No
I have never had a reiki or energy healing session before.

I acknowledge and understand the following:

  1. Nature of Services: Reiki is a Japanese relaxation technique that uses gentle energy work to promote stress reduction, emotional balance, pain relief, and an overall return to well-being. Sessions provided by Jordyn Kurtz and Astralis Healing may also incorporate other holistic modalities, including Shamanic Healing, Quantum Energy Healing, Crystal Healing, and intuitive energy techniques.

  2. Scope of Practice: I understand that Jordyn Kurtz is a Certified Reiki Master, Quantum, Shamanic & Crystal Healing Practitioner, and not a licensed physician, psychologist, or medical provider. These services do not include diagnosis, treatment, or prescription for any medical or psychological condition. I agree that these services are not a substitute for professional medical or mental health care and are intended to complement, not replace, such care.

  3. Medical Responsibility: I am encouraged to seek the advice of a licensed healthcare professional for any physical, emotional, or psychological concerns I may have. Any suggestions made during my session, including referrals or self-care practices, are supportive in nature and not medical in scope. I take full responsibility for my own healthcare decisions.

  4. Hydration and Aftercare: It is advised to hydrate adequately before and after energy healing sessions. I understand that failing to do so may increase the likelihood of experiencing temporary side effects.

  5. Possible Side Effects: I understand that energy healing can occasionally result in temporary physical or emotional detox symptoms, including but not limited to:

    1. Dizziness or vertigo

    2. Headaches

    3. Nausea

    4. Fatigue

    5. Emotional release

    6. Tingling or energetic sensations in the body

    7. Changes in digestion or sleep patterns

  6. Session Goals and Intention: Prior to each session, I will have the opportunity to set intentions and identify goals for my healing. Sessions are collaborative, and I am welcome to share input regarding my focus areas.

  7. Touch and Consent: I understand that Reiki and certain energy healing techniques may involve light, respectful physical touch. I give informed consent for such touch during sessions.If I choose to withdraw this consent, I agree to provide written notice via email to contact@astralishealing.com prior to any future session(s). Verbal or non-written withdrawal of consent may not be honored for legal documentation purposes.

  8. Confidentiality: All information shared during sessions will remain confidential, unless disclosure is required by law or I provide written consent to share it.

  9. Results DisclaimerNo specific outcomes are promised or guaranteed. Energy healing is a supportive and individualized process, and the results may vary based on my personal journey, energy, and commitment to the healing process.

  10. Liability Release: Except in cases of gross negligence or willful misconduct, I agree to release, indemnify, and hold harmless Jordyn Kurtz and Astralis Healing from any claims, liabilities, or damages that may arise in connection with my participation in these sessions.


By signing or proceeding with services, I affirm that I have read, understood, and agree to the above statements. I voluntarily consent to receive Reiki and/or Energy Healing sessions from Jordyn Kurtz and Astralis Healing.

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