Tuesday, May 28, 2024
HomeLegalsDisclaimer and Consent Form

Disclaimer and Consent Form

It is a condition of treatment that you sign the Disclaimer and Consent form before a session with Kevin. You can get a copy below, read it, and sign it please. You can send it electronically, take a photo and text or Whats App it, or bring it with you or sign one on the day.

Consent Form for Shamanic Healing and Spiritual Life Counselling with Kevin Parker, Sane Earth

Please print, review, and complete this form: (print out as word document or as a .pdf). Take photo of it and send through to Kevin or bring it on the day of your appointment.

Consent Form for Session with Kevin Parker

This consent form outlines what to expect from a shamanic healing or spiritual life coaching. Shamanic healing focuses on the spiritual aspects of wellness, applying specific techniques to balance your energy field, release blocks, and stimulate natural healing. Physical touch may be involved, but always with consent and sensitivity. Inform me if you feel discomfort during the session.

We may discuss emotional, mental, and physical issues impacting your well-being. Your information will remain confidential but may be discussed with supervisors or peers to enhance my professional growth and service quality.

Your healing journey is your responsibility. While I’m committed to assisting you, I won’t advise discontinuing any prescribed medications or treatments. My practices aim to complement other healing work, including conventional Western or Eastern medicine. Consult your doctor before making changes to prescribed treatments. I’m a Shamanic Healing Practitioner, not a physician.

Spiritual Life Coaching encompasses the other services I offer, detailed at kevinparker.au or as used within my face-to-face or online Practice as discussed and agreed to with clients.

Please note the Spiritual Life Coaching modules are experiential and for entertainment purposes only. By signing, you acknowledge this and release Kevin Parker, Sane Earth, from claims of malpractice, non-disclosure, or lack of informed consent. You agree to indemnify and hold harmless Kevin Parker, Sane Earth, from any claims or expenses, including legal fees, arising from the use of these services.

I have read & understood this form.

Initials             Date   

Consent for Shamanic Healing and Spiritual Life Coaching with Kevin Parker:

I,                                                          , understand Kevin Parker does not diagnose or treat illnesses or prescribe medications. I acknowledge that his services, listed on kevinparker.au and as a part of his face-to-face or online consultations, are not substitutes for medical examination or diagnosis. I have disclosed all known medical conditions and consent to receive shamanic treatments or spiritual life.

I release Kevin Parker from all malpractice, non-disclosure, or lack of informed consent claims. I agree to indemnify and hold harmless Kevin Parker, Sane Earth, from any claims or expenses arising from using these services.

Signed in agreement______________________________date_____________

Address_________________________________________________

Telephone number_______________________

email_________________________________________

Thank you. Kevin Parker- Shamanic Practitioner and Spiritual Life Coach

Please print, review, and complete this form: (print out as word document or as a .pdf). Take photo of it and send through to Kevin or bring it on the day of your appointment.

Kevin Parker
Kevin Parkerhttp://kevinparker.au
Kevin Parker is a Core Shamanic Practitioner and a Spiritual Life Coach
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