Trauma & Energy Healing
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Biomagnetic Therapy consists of applying magnets on certain areas of the body in order to help balance the pH levels of alkalinity and acidity in the body. This allows the body an opportunity to naturally heal on its own. This treatment is an investment in your health, your quality of life, and your longevity.
I acknowledge the following and I accept full responsibility for my health and voluntarily complete this consent and waiver of liability form.
1. I understand and acknowledge that Biomagnetic Therapy is NOT a substitute for medical care. I agree that if I have any serious medical conditions I will seek the advice of a medical doctor. I understand I should see a medical doctor for follow-up care and should view Biomagnetic Therapy care as additional therapy to the medical care provided by a medical doctor. Biomagnetic Therapy is not a substitute for physician consultation, evaluation, or treatment.
2. I understand and acknowledge that Alison Kate is NOT a medical doctor/physician and therefore I do not view her as my physician/medical doctor. I understand and acknowledge that Alison Kate does not make medical diagnosis, does not provide medical advice or care, and does not handle medical conditions or emergencies.
3. I understand and acknowledge that Alison Kate does not make any claims whatsoever, expressed or implied, regarding any efforts or outcomes of the sessions provided, and shall not be liable for the same.
4. I understand and acknowledge that up to 5 days after Biomagnetic Therapy, the body starts to detoxify which may result in symptoms such as fatigue, headaches, diarrhea, and low fever amongst other like effects. This is called a healing crisis and is a natural process by which the body undergoes an intense period of cleansing and rebuilding. It is called "healing" because the body is working hard to heal itself and become stronger. This process can often be mistaken as a sickness. In fact, the reality is quite the opposite. It is a process in which the body is overcoming ill health and becoming healthier and stronger.
Symptoms that continue beyond 7 days can be caused by reinfection and will likely need to be treated again.
5. I acknowledge and represent that I am not pregnant.
6. I acknowledge and represent that I do not have any battery-run devices in my body such as a pace-maker or like devices that may be affected by applying magnets.
7. I acknowledge and represent that I have not received chemotherapy and/or radiation therapy within the last 13 years from today nor have I planned one for the coming year.
8. I acknowledge and understand that failure to disclose accurately any of the above may have serious implications. Accordingly, I understand that it is fully my responsibility to disclose pertinent information. And I accept full responsibility for my health.
My signature below indicates that I have carefully read and reviewed this informed consent and fully understand and agree to all of the terms and conditions contained herein.
Client Signature *
Parent/Guardian Signature (if under 18 years old)
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