Holistic Healing Services Consent Form
Before participating in any of our programs or sessions, we require that you complete and sign this
consent form, acknowledging your understanding and agreement to the terms of the service. This
form outlines the nature and scope of the services provided, as well as any potential risks and
benefits.
Nature and Scope of Services:
Holistic Healing Services with Sanela offers integrative wellness sessions that may include energy
balancing, nutritional guidance, mind-body techniques, and other holistic modalities. These services
are intended to support overall well-being and are complementary to conventional healthcare, not a
substitute for professional medical advice, diagnosis, or treatment.
Potential Benefits:
- Enhanced relaxation and stress relief
- Improved energy balance and emotional well-being
- Increased awareness of self-care practices
- Support for holistic lifestyle improvements.
- Potential Risks and Limitations:
- Some individuals may experience emotional or physical detox responses.
- Results may vary and are not guaranteed.
- Holistic healing is not a replacement for conventional medical care.
- Participation is voluntary, and individuals should consult a licensed healthcare provider if needed.
- Confidentiality:
All client information and session details are confidential. No information will be shared without your
written consent, except as required by law.
Client Acknowledgment and Agreement:
I acknowledge that I have read and understand the above information. I voluntarily choose to
participate in holistic healing sessions with Sanela. I understand that these services are
complementary to, and not a substitute for, medical care. I accept full responsibility for my
participation and any outcomes that may arise. I release Sanela and all associated parties from any
claims, liabilities, or damages.
Client Name: ___________________
Signature: ___________________
Date: ___