PLEASE READ CAREFULLY

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I understand that Sound Therapy sessions, or any other session I receive from Sound Healing & Wellness Inc., are provided for the basic purpose of harmonizing my body's energies.

If I experience any pain, or discomfort during a session, I will immediately inform my practitioner.
 

I further understand the modalities I receive at Sound Healing & Wellness Inc. are not a substitute for medical advice, or medical care.

Energy Medicine, and Sound Therapy may address physical concerns by working with the electromagnetic fields that regulate the body, as well as by shifting the more subtle energies described in other cultures with terms such as Chakras, Meridians, Biofield, Chinese Medicine, Five Element Theory, Applied Energy Testing, etc.
 

By signing my name below and checking the box, I agree to the terms of this intake form, and authorize that the information is true.

Completing this form serves as my authorization and signature in electronic form.