Inmost Wisdom Facilitation Agreement
Disclaimer and Statement of Understanding
Inmost Wisdom sessions may contain and not limited to: Emotion Freedom Technique (EFT, Tapping), PSYCH-K®, Power Transformation cards, guided meditation, Shamanic and Intuitive Healing, Reiki and other energetic modalities. The Inmost Wisdom processes are strictly limited to the modification of beliefs. The purpose is to engage the mind/body’s natural self-healing processes in order to complement, not replace, usual, customary, and reasonable medical treatment and medical care by qualified medical practitioners. The Inmost Wisdom processes are not designed to diagnose medical conditions. Nor are any of the modalities designed to treat, heal, or cure any disease, illness, physical disability, medical problem or mental illness, whether chronic or acute. Inmost Wisdom and the modalities used are not replacements for appropriate medical attention or professional mental health care. Inmost Wisdom is not medical advice, and should not be treated as such. Inmost Wisdom, along with its facilitors, expressly disclaim responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the modalities and processes for engaging the mind/body’s natural self-healing response. Except in the case of gross negligence or malpractice, I or my representative(s) agree to fully release and hold harmless Inmost Wisdom and its facilitators from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s).
Limitation of Warranties
Inmost Wisdom and its facilitators do not give medical advice or engage in the practice of medicine — physical or mental health. Inmost Wisdom and the facilitation of the energetic modalities are provided “as is,” without any representations or warranties, express or implied. The modalities and processes are not an alternative to medical advice from your doctor or other professional healthcare provider. If you have any specific questions about any medical matter it is your sole responsibility to choose whether to consult a doctor or other professional healthcare provider. The facilitation of modalities and processes by Inmost Wisdom and facilitators do not create any patient-physician relationship.
Facilitation
I acknowledge that by engaging Inmost Wisdom and facilitators, I am holding them harmless from any damages, loss, injury, or liability whatsoever that I might suffer as a result of my reliance on the modalities for engaging my mind/body’s natural self-healing response. I agree that I am responsible for my own life and its unfolding. As an expression of my responsibility I am seeking assistance with the beliefs that manifest my reality, but the actual manifestation of that reality is up to me.
Further, I agree not to teach any of the processes that I may learn or intuit to others in any way. I agree that leaving the processes in the hands of those who have been specifically trained to do them helps maintain the integrity of the processes, which is a benefit to me and all others who use any of the above energetic modalities.
In order to provide private therapeutic services, facilitator may arrange to rent out rooms from independent providers. The vendors provide independent practitioners with peaceful and accessible office and conference space to conduct their private practice. They are not clinics or health centers. The nature of the relationship with vendor is limited to that of licensee and licensor. The vendor is not liable for facilitator’s professional practice or clientele.
Confidentiality/Client Rights
Your experiences during our sessions are confidential, and you have a right to view your files upon written request. Confidentiality is subject to the following exceptions: 1. You may instruct me to release information to other health care practitioners in writing. 2. I may release information if subpoenaed or otherwise legally obligated or reasonably allowed to do so (Including circumstances where there is clear and imminent danger to yourself or another person). 3. Your confidential personal file is kept in a secure location and is retained for 4 years after you suspend services after which time all information will be destroyed in a proper manner. 4. Your confidentiality is always subject to the usual exclusions dictated by state and federal laws and regulations.
I have read, understood, and will comply with all the conditions of this Agreement by signing the "Client Intake Form" before my first session.
Inmost Wisdom sessions may contain and not limited to: Emotion Freedom Technique (EFT, Tapping), PSYCH-K®, Power Transformation cards, guided meditation, Shamanic and Intuitive Healing, Reiki and other energetic modalities. The Inmost Wisdom processes are strictly limited to the modification of beliefs. The purpose is to engage the mind/body’s natural self-healing processes in order to complement, not replace, usual, customary, and reasonable medical treatment and medical care by qualified medical practitioners. The Inmost Wisdom processes are not designed to diagnose medical conditions. Nor are any of the modalities designed to treat, heal, or cure any disease, illness, physical disability, medical problem or mental illness, whether chronic or acute. Inmost Wisdom and the modalities used are not replacements for appropriate medical attention or professional mental health care. Inmost Wisdom is not medical advice, and should not be treated as such. Inmost Wisdom, along with its facilitors, expressly disclaim responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the modalities and processes for engaging the mind/body’s natural self-healing response. Except in the case of gross negligence or malpractice, I or my representative(s) agree to fully release and hold harmless Inmost Wisdom and its facilitators from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s).
Limitation of Warranties
Inmost Wisdom and its facilitators do not give medical advice or engage in the practice of medicine — physical or mental health. Inmost Wisdom and the facilitation of the energetic modalities are provided “as is,” without any representations or warranties, express or implied. The modalities and processes are not an alternative to medical advice from your doctor or other professional healthcare provider. If you have any specific questions about any medical matter it is your sole responsibility to choose whether to consult a doctor or other professional healthcare provider. The facilitation of modalities and processes by Inmost Wisdom and facilitators do not create any patient-physician relationship.
Facilitation
I acknowledge that by engaging Inmost Wisdom and facilitators, I am holding them harmless from any damages, loss, injury, or liability whatsoever that I might suffer as a result of my reliance on the modalities for engaging my mind/body’s natural self-healing response. I agree that I am responsible for my own life and its unfolding. As an expression of my responsibility I am seeking assistance with the beliefs that manifest my reality, but the actual manifestation of that reality is up to me.
Further, I agree not to teach any of the processes that I may learn or intuit to others in any way. I agree that leaving the processes in the hands of those who have been specifically trained to do them helps maintain the integrity of the processes, which is a benefit to me and all others who use any of the above energetic modalities.
In order to provide private therapeutic services, facilitator may arrange to rent out rooms from independent providers. The vendors provide independent practitioners with peaceful and accessible office and conference space to conduct their private practice. They are not clinics or health centers. The nature of the relationship with vendor is limited to that of licensee and licensor. The vendor is not liable for facilitator’s professional practice or clientele.
Confidentiality/Client Rights
Your experiences during our sessions are confidential, and you have a right to view your files upon written request. Confidentiality is subject to the following exceptions: 1. You may instruct me to release information to other health care practitioners in writing. 2. I may release information if subpoenaed or otherwise legally obligated or reasonably allowed to do so (Including circumstances where there is clear and imminent danger to yourself or another person). 3. Your confidential personal file is kept in a secure location and is retained for 4 years after you suspend services after which time all information will be destroyed in a proper manner. 4. Your confidentiality is always subject to the usual exclusions dictated by state and federal laws and regulations.
I have read, understood, and will comply with all the conditions of this Agreement by signing the "Client Intake Form" before my first session.