SYNCHRONY MEDICAL GROUP & MIND BODY WELLNESS

---

Inquiring for and purchasing any of our services, whether healing or teaching, means that you have clearly and fully understood and agreed that,

• Any of our Reiki service is neither offered nor intended or construed to be a substitute or a replacement of any of your current or future diagnosis, therapy, treatment, intervention, protocol, and/or follow-up by/with your medical and other healthcare professionals.
• Reiki healing is rather an Energy Medicine that is "intigratively" used (and may also be referred to as Integrative Medicine) with other diagnostic, treatment, and healing techniques, disciplines, and modalities and generally considered as "Complementary and Alternative Medicine or CAM". (Please see specific pages and links on this site for more information on Energy Medicine, Integrative Medicine, and Complementary and Alternative Medicine)
• Your decision to request and undergo Reiki healing therapy is a decision made solely and independently by you.

Our Client's Disclaimer Statement:

I hereby give my consent to participate in this in person or distant Reiki treatment and healing session and understand that the services provided by Synchrony Medical Group & Mind Body Wellness staff are intended to provide relaxation and reduce stress.

I understand completely that the services provided during this Reiki treatment and healing session are in no way a substitute for traditional medical treatment or advice. I am fully aware that my chosen Reiki Practitioner will not offer any diagnosis or recommend any Medical Treatment or Prescribed Medication.

I understand that I must continue to have regular medical check-ups as part of my overall personal health care plan; and I should contact my own certified and licensed medical physician/doctor/health care professional for any physical or psychological ailments or concerns that I may have in order to get proper medical advice.

I agree and understand that my participation in this Reiki Treatment Session/ other CAM services is voluntary and that at any time during the Session I can choose to end my participation. I also understand that I may experience 'self-healing reactions' during the 48 hours following the Reiki treatment and healing session.

I understand that any information exchanged during any session is educational in nature and is to be used at my own discretion. I also understand that any information imparted during these sessions is strictly confidential and will not be shared with anyone without my written permission.

Finally, I understand that by providing this informed consent I am assuming full responsibility for participating in this Reiki Treatment Session and other CAM and I hold harmless both my chosen Reiki Practitioner and the facility/location where the services are provided.

I agree to the terms and conditions set out by this in Person or distant Reiki treatment and healing consent form and certify that the above information is true and correct.