Reiki + Crystal Sonic Therapy : Consent Form

Awakening Light
Reiki + Crystal Sonic Therapy Sessions
New Client Consent Form

The purpose of this form is to give you some basic information about my sessions, which utilise both Reiki as well as Crystal Sonic Therapy (CST). This form is also to acquire your consent to keep your details on file, as well as to provide the Reiki + CST session. 

What happens in a session…
Depending on your choice at the time of booking, you will receive either a Reiki treatment, a Crystal Sonic Therapy session, or the combination of both modalities. Both types of sessions are facilitated by Brighitta Moser-Clark, a qualified practitioner, for the agreed period of time. Brighitta will use Reiki by the laying on of hands (on or off the body at the chakra points + along the meridians) and/or play the Alchemy Crystal Singing Bowls around the body. You are invited to simply lay down, relax, and experience the meditative combination of Reiki with the soothing sound waves emanating from the Singing Bowls (all made of quartz with a combination of gemstones, precious metals, and minerals). 

What is Crystal Sonic Therapy? What is Reiki?
Both of these energy healing modalities are holistic, complementary therapies which enhance well-being and stimulate the body’s natural ability to heal itself. They are used to promote inner peace and relaxation, having a transformational effect on any presenting imbalances within the mind, emotions, physical body and auric field. The result is a deep sense of calm. The Alchemy bowl’s tones and vibrations fill the space to create a deeply sensory experience while the intelligent life force of Reiki flows through the etheric field to comfort and stimulate self-healing. The effects can be felt almost immediately with improvements and transformations claimed across a wide range of conditions, particularly effective when related to stress. 

What Crystal Sonic Therapy + Reiki are not…
Neither of these complimentary therapies are substitutes for medical examination, diagnosis, treatment, or medications. Practitioners do not diagnose conditions, nor do they prescribe substances or perform medical treatment, nor interfere with the treatment of licensed medical professionals. It remains the client’s responsibility to take care and seek medical treatment when necessary.

How many sessions will I need? 
Depending on the outcome of the first session this can be discussed. Some clients need only one session while others desire a course of sessions and subsequent ‘top ups’ for self-care and well-being.

Data Protection 
We understand privacy is important and offer our clients a confidential service. This means that we will not disclose your details or information about your treatment with any outside agency, family members or others, without your written consent. However, there are certain situations where we may breach confidentiality: if there is a concern that a child is at risk of harm or in cases where the client has expressed they will harm themselves and/or others. In this case, their data will be passed to the relevant authorities. You data will be stored securely for seven years. A copy of my data protection policy is available upon request.

Client Acknowledgement  
I understand that a Reiki + Crystal Sonic Therapy Practitioner does not diagnose conditions, nor do they prescribe substances or perform medical treatment, nor interfere with the treatment of a licensed medical professional. I further understand Reiki + Crystal Sonic Therapy are not substitutes for medical examination, diagnosis,  treatment, or medications. I also will ensure to update Brighitta Moser-Clark of any changes to my condition that are relevant to the treatment, including pregnancy or epilepsy. 

I understand I will be fully clothed during the session (apart from removal of shoes + coat). I understand any information I provide will be used by Brighitta Moser-Clark to assess and perform the requested treatment(s). 

Data protection laws state that you have the right to request a copy of any notes on file and the removal of these notes.  

Having read, completed and understood the above, I request to receive Reiki and/or Crystal Sonic Therapy. I understand that my practitioner is providing Reiki and/or Crystal Sonic Therapy for me at my request and is not responsible for the outcome of the sessions. I have consented to the use of the services offered by Brighitta Moser-Clark of Awakening Light and agree to be personally responsible for the fees for the service provided.