Balance and Harmony

Relaxing energy and massage therapies combined to encourage self healing and restore your body's balance and harmony

Client Forms

You will be asked to sign a consent when you come in for your first session with Michelle.  The consent is below for your review.  A verbal consent is obtained for the Introductory Energy Sessions.  

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                                 Informed Consent for Healing Touch Sessions

Michelle Stern BSN, LMT, HTCP is a Healing Touch Certified Practitioner.

I understand that Healing Touch is a complementary modality that in no way substitutes for appropriate medical intervention, body therapy, or psychotherapy.  I also understand that my practitioner will make suggestions for my self-care and referral based on wide experience.

I recognize that there is a close working partnership between me and my practitioner that requires me to share my ideas, perceptions, and opinions readily.  In this manner any misunderstandings can be cleared up immediately.

I further understand that there are numerous benefits possible through Healing Touch, such as diminished pain sensation, increased relaxation, relief from anxiety, and enhanced sense of well-being.  These effects may vary depending on each individual’s response patterns.  Although there are no known harmful effects from this type of intervention, I hold my practitioner harmless from any possible effects that may cause temporary discomfort and agree to take full responsibility for my self-care and personal development.




Signed:_________________________________________________

Printed Name:____________________________________________

Date:____________________________________________________

 


Excerpted from:  Healing Touch: A Guidebook for Practitioners, 2nd Edition. Page 246

Associated Bodywork & Massage Professionals
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