PNW Pyramid Participation and Informed Consent
1. Voluntary Participation and Informed Consent
I understand that I am voluntarily participating in energy healing and/or sound healing sessions offered by the Facilitator named in the booking. I acknowledge that I have been informed about the nature of the services and give my full consent to receive them.
I understand that energy healing is a holistic, non-invasive wellness modality.
I am participating of my own free will and without pressure or coercion.
I have the right to ask questions and withdraw consent at any time.
I confirm that I am of sound mind and legal age (18+).
I am aware that energy healing may involve spiritual or energetic practices beyond conventional medicine.
2. Description of Energy Healing Services
Energy healing may include modalities such as Reiki, chakra alignment, aura cleansing, spiritual guidance, and hands- on or hands-above-the-body energy techniques.
These practices are based on subtle energy systems not recognized by all medical communities.
Facilitators may use crystals, tuning forks, visualization, or guided meditation.
I may experience sensations including, but not limited to heat, cold, tingling, emotional release, or deep relaxation.
No physical manipulation of muscles, bones, or tissues will occur unless otherwise stated.
I acknowledge that all tools or techniques will be explained beforehand.
3. No Medical Diagnosis, Treatment, or Guarantees
I understand that energy healing is not a substitute for licensed medical or psychological care.
Practitioners do not diagnose conditions, prescribe treatments, or make medical claims.
I will not discontinue or delay any ongoing medical treatment based on energy sessions.
There are no guaranteed outcomes from energy work.
I understand this is a complementary approach that works alongside, not instead of, traditional medicine.
Any decisions regarding my health remain my sole responsibility.
4. Health Disclosure and Suitability
I affirm that I am in good physical and mental health and have disclosed any relevant conditions that may affect my participation.
I have informed the practitioner of any chronic conditions, medications, or psychiatric diagnoses.
I do not have a pacemaker, seizure disorder, or medical implants affected by energy work.
If I am pregnant, I have consulted with my doctor and disclosed this to the practitioner.
I accept full responsibility for my health during and after the session.
I understand that unresolved trauma may surface during deep energetic release.
5. Assumption of Risk
I am aware of the potential risks associated with energy healing and willingly accept them.
Emotional responses such as crying, fatigue, or vivid dreams may occur.
Physical sensations may arise as the body processes energy shifts.
Although rare, discomfort or adverse reactions are possible.
I release the practitioner from responsibility for any unanticipated effects.
I assume full risk of participation in all healing activities.
6. Release of Liability
I hereby release and hold harmless the Facilitator, employees, and representatives from any and all liability related to my participation.
This includes claims of negligence, injury, or unexpected physical or emotional responses.
The release applies before, during, and after the session.
I waive the right to initiate legal action or seek damages.
This release is binding upon me, my heirs, and legal representatives.
I fully understand and accept this agreement as a legal contract
7. Indemnification
I agree to indemnify and defend the Facilitator against any claims, damages, or legal proceedings arising from my actions.
This includes costs of legal defense, settlements, and court expenses.
Applies whether initiated by me or a third party.
Includes in-person, remote, or group sessions.
I take sole responsibility for any consequences arising from my participation.
This clause survives the termination of this agreement.
8. Consent to Hands-On Energy Work & Sound Sensitivity
I acknowledge that some energy healing methods may include light touch on specific areas such as the shoulders, head, or feet.
I consent to this respectful, non-invasive physical contact and may withdraw consent at any time.
All touch will be professional and within ethical guidelines.
The practitioner will inform me prior to any contact.
No touch will be applied to sensitive or inappropriate areas.
Sound Sensitivity: I understand that sound healing involves exposure to vibrational tools (e.g., gongs, crystal bowls, binaural beats). I affirm that I do not have medical conditions sensitive to high-decibel or specific frequencies and will notify the Facilitator if I experience any auditory discomfort.
9. Privacy and Confidentiality
I understand that all information shared during sessions is confidential.
My personal and health details will not be disclosed without my written permission.
Any notes or records will be securely stored and not shared.
I may request copies or ask for my information to be deleted.
Verbal discussions during sessions are also protected.
Facilitators will only breach confidentiality if required by law (e.g., threat of harm).
10. Emergency Contact and Medical Policy
In case of a medical emergency, the practitioner may contact emergency services and my designated contact below.
Facilitator is not trained to provide emergency medical treatment.
I will be responsible for all emergency-related expenses.
Facilitator will act in good faith for my safety.
I release the practitioner from any liability related to emergency response.
I agree to provide accurate emergency contact information.
11. Payment, Cancellation, and Refund Policy
I understand and accept the practitioner’s payment and cancellation terms.
Cancellations must be made at least 24 hours in advance.
Missed appointments or late cancellations may result in a fee.
No refunds will be issued once a session begins.
Session packages are non-transferable unless approved.
The practitioner may reschedule or cancel sessions as needed.
12. Jurisdiction and Legal Framework
This agreement shall be governed by the laws of the State of Washington.
Any disputes will be resolved under that jurisdiction.
If any part of this agreement is deemed invalid, the remainder remains in full force.
This waiver represents the entire agreement between both parties.
No verbal promises are valid unless written.
I understand and voluntarily accept all conditions stated above.
13. Residential Property & Premises Liability
I understand that sessions are conducted within a private residence and voluntarily assume all risks associated with being present on the premises.
Property Navigation: I accept responsibility for my own safety while navigating walkways, stairs, and entryways (e.g., uneven surfaces).
Domestic Environment: I acknowledge the premises may contain common household allergens or pets and have disclosed any relevant allergies
Personal Property: The Facilitator is not responsible for the loss, theft, or damage of personal belongings brought onto the property.
14. Acknowledgment and Agreement
I confirm that I have carefully read and understood the terms of this waiver.
I have had the opportunity to ask questions.
I accept all risks and responsibilities associated with energy healing
I acknowledge that this is a legally binding agreement
I acknowledge this document voluntarily and without coercion.