Informed Consent

03/29/2016 11:53 AM | Matt Courtney (Administrator)

It is recommended that Energy Medicine practitioners obtain a signed informed consent before starting sessions with a client. Informed consent protects both the practitioner and the client. It provides sufficient information to the client to feel comfortable in entering into a professional relationship with the practitioner. It allows the practitioner to provide all of the information they feel the client should have regarding them, their practice, and modalities being used. Having the client formally acknowledge the services being offered also protects the practitioner. Three sample informed consent forms are offered for your information. We recommend you adapt them to fit your specific needs and practice.

Informed Consent - Sample A

Informed Consent - Sample B

Informed Consent - Sample E


  • 05/18/2018 4:01 PM | Ann Darmstetter (Administrator)
    Here is the language from the application:

    I agree to have my clients sign an informed consent which contains this statement: “Except in the case of gross negligence or malpractice, I or my representative(s) agree to fully release and hold harmless (Name of Practitioner) from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s).”
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