Client Agreement & Wavier

I have graduated from Hibiscus Moon receiving a Certificate for Certified Crystal Practitioner & Advanced Crystal Master. I would like to welcome you. By providing some information relevant to our relationship and your experience during the energy session process.  Please read this information carefully and when you email me back it is an acknowledgement that you have reviewed the information.

If you ever have any concerns about the nature of your treatment, you are free to discuss them with me at any time.  As I am committed to monitoring your progress, I ask that you please bring any new information affecting your treatment as soon as practical.  You are entitled to stop treatments at any time, with or without reason, and I recommend that you inform your medical doctor that you are receiving energy treatment.  While I will use my best efforts during our sessions, I cannot guarantee any particular outcome as results vary from person to person.

 

Governing Law

I am not a licensed physician; this agreement shall be constructed according to the laws of the Country of Canada in the Province of Alberta. Since it is likely that any laws regarding crystal session (Energy Work) will change over time, I also encourage you to research and stay informed on current laws and to bring any changes to my attention.

 

Requirements to be a Hibiscus Moon Certified Crystal Practitioner & Advanced Crystal Master     

In addition to my commitment to a professional Code of Ethics, I have completed a sequence of classes to obtain the Certification.  Further, I was required to perform energy sessions reviewed by my instructor and clients for effectiveness and professionalism, and otherwise encouraged to continue hands-on training.  I have received Official Certificate of Completion; I’m qualified to use the letters CCP & ACM after my name and earned 30 Continuing Education Units with the National Certification Board for Therapeutic Massage & Bodywork.  

 

Practitioner’s Commitments to You

As a Practitioner, part of my certification process through the Hibiscus Moon Certification Process included commitment to a Code of Ethics that requires professionalism, safety, and consistency in all sessions.  Thus, the practice of the Hibiscus Moon Crystal Session Method, I have vowed to always:

 

  1. Practice methods as taught during my Certification and use all precautionary measures;

  2. All information we obtain about you, whether written or shared verbally during session, and whether from you directly or another source, will be held in the utmost confidentiality.  We will never share your information, medical or otherwise, without your express written consent and direction, unless otherwise required by law.

  3. Abstain from giving any medical diagnoses, interfering with the treatment of a licensed health care provider, or suggesting the use or change of use of any prescription, medication, or treatment;

  4. Actively work on my own healing and education so as to embody and fully express the essence of Crystal Session in every facet of my life;

  5. Be responsible for the energy I bring into the session and into any transactions as a practitioner, always striving to be positive;

  6. Never attempt to awaken Kundalini on others;

  7. Be open to the continuing process of enhancing my professional qualifications, training, experience and skills;

  8. Respect and value all energy workers and types of healing modalities, and refrain from making negative statements about others;

  9. Encourage my clients to heal themselves, and assist them in their personal growth as well as their own crystal practice;

  10. Treat my clients with the greatest respect, and never engage in any illegal or immoral activity which hurts them;

  11. Be truthful in my advertising by openly discussing my training and background, what is offered in a crystal session, the fee that is charged, and the amount of time spent in sessions;

  12. Educate my clients regarding the merit of crystal session in conjunction with other medical treatments, and thoroughly explain that it does not guarantee a cure and is not a substitute for medical or psychological treatment, but only a supplement to these treatments.

 

Practitioner Commitment in Providing Services

The Disclosures made here are accurate to the best of my knowledge and reflect my commitment to your practitioner as my client.  I will always endeavor to abide by the Code of Ethics I have adopted for myself.  I will work with you in your energy to reach the goals you have set for yourself and will not interfere with your own personal beliefs or energy efforts.  If at any time I feel it necessary or advisable, I will discontinue our energy sessions to prevent any harm to you, to myself as practitioner, or to my practice.  I have made these disclosures voluntarily and, while I make no representations that the information contained herein will remain accurate during the duration of our practitioner-client relationship, I will work within the terms of this disclosure.

 

Gail Todd                     

Practitioner Signature                                                                 

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Consent and Release of Liability

  • I understand that Evolution Within 888, Gail Todd, is NOT a doctor or medical professional and therefore the crystal session that was provided by a Certified Crystal Practitioner & Advanced Crystal Master, is not a substitute for proper medical care. I understand that the Evolution Within 888 does not diagnose, treat, or cure any disease or physical condition.

  • I understand that the energy work provided by Evolution Within 888 (Gail) is a holistic and complementary energy therapy and that it works alongside and integrates naturally with any medical treatment. It is not a substitute for any medical treatment already being received.

  • I understand that Evolution Within 888 (Gail) is NOT a doctor and so cannot prescribe, treat, or diagnose for specific conditions.

  • I am requesting the service of Gail Todd, a Certified Crystal Practitioner & Advanced Crystal Master, for the purpose of assisting me to access my own inner resources of energy so that I can assist myself in my own healing.

  • All information I have provided is accurate to the best of my knowledge

  • I understand no guarantees or warranties are made to the effectiveness of crystal session and take full responsibility for my expectations of the healing process.

  • My practitioner has advised me that by emailing back it is acknowledgement such that I understand its contents and I accept its terms, without condition.

  • I agree to pay my practitioner directly by e-transfer (method), 24 hours in advance of the crystal session.

  • I agree to pay, whether my practitioner has forgiven or waived a charge in the past, all the following non-refundable fees, without exception:

    • $ 44.00 p/p     Group Session (Min. of 3 people ~ Max. 12 people)

    • $ 80.00           Appointments lasting 60 minutes.

  • I release my practitioner, as well as any of his/her assistants or related business interests, from any and all liabilities or claims of any nature that may result my participation in crystal session, including but not limited to damages from my failure to pursue medical attention from a medical professional, for the exacerbation of any preexisting physical ailments I may have, and by filling out the forms either in the service or contact page. I agree to all these terms, and further bind my estate, heirs, and assigned to this release of liability.        

     

Client Acknowledgment and Consent to Receive Services

I have read and understand the above Disclosure about the energy treatment offered and have discussed with my practitioner the nature of the services to be provided.  I consent to and affirm all the terms included in this Disclosure and agree to read all material provided to me regarding my practitioner’s practice. I understand my practitioner is not a licensed physician and that energy session services are not licensed by the province. I understand it is my responsibility to maintain a relationship for myself with a medical doctor. I have consented to use the services offered and agree to be personally responsible for all fees charged in connection with the services provided to me.