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Abstract Light Waves

Informed Consent

Advanced Healing Energetics, PMA Energy Healing Services Disclosure Statement and Agreement

Dr. Gail Jett, Energy Practitioner

Welcome to Advanced Healing Energetics Private Member Association!  This document contains important information about my services. It is rather long because it covers a wide range of possible situations, many of which will not apply to you. It does provide a framework for understanding the services that you are considering receiving from me. Please read it over carefully, and please bring up any questions you might have. If you decide you would like to use my services, please sign this document; it will represent an agreement between us. Please note, I only work with people 18 years of age and up.

Policy Statement:  To support members on their healing journeys in a supportive environment

What is Eden Energy Medicine?

I am a Nationally Certified Energy Healing Practitioner, through the National Certifiecation Center of Energy Practitioners (NCCOEP), which is an approach that involves assessing and balancing your body’s natural interent energies for the purposes of increasing your overall vitality. The form I use draws from several disciplines: the teachings of Donna Eden, and her book, “Energy Medicine”. I am also a Licensed Massage Therapist as well as a Usui/Holy Fire Karuna Reiki Master. I am also a retired Nurse Practitioner; I no longer practice conventional medicine. Sessions will be primarily energy balancing though occasionally I will add a technique from one of these other modalities.  I hold a Doctorate of Theology in Pastoral and Integrative Health through Holos University Graduate Seminary.


The roots of these techniques that you will be experiencing and learning trace back to ancient healing and spiritual traditions such as Traditional Chinese Medicine, Tai Chi, Qi Gong, Acupuncture, and yoga. The modern form that I use and teach does not require adherence to any particular set of beliefs or practices.  The core concept is that your personal well-being and effectiveness are directly related to the state of your body’s energies. 

Your Body’s Energies


Einstein’s famous formula, E=mc 2, changed the course of physics and of history by showing that matter is a form of energy. Our bodies are comprised of molecules that are in constant motion and that are continually being influenced by outside forces. The medical profession measures electromagnetic fields using devices such as MRIs, EKGs, and EEGs. The vital role that these energies play in our everyday health and well-being is well established. Scientists from a range of disciplines are now introducing concepts such as “force fields” and “subtle energies” to explain what they are observing. Subtle energies are called “subtle” because they are not easily detectable; though that has been beginning to change with the use of modern GDV photography, SQUID magnetometers, and ultrasonic microscopy that have begun to reliably measure and document the existence of these energy fields that people throughout history and across cultures have described as seeing, or feeling.

Enhancing Your Body’s Energies


You may have heard of subtle energy through terms such as the “life force”, “chi”, “meridians”, “chakras”, “biofields”, or “auras”. In many healing traditions, the “life force”, or the animating force that distinguishes life from death, is understood as a subtle energy form. Eastern cultures in particular have studied such energies for millennia and have successfully applied their understanding for enhancing both physical and emotional health. Systems designed to influence the body’s subtle energies include yoga, Reiki, acupuncture, acupressure, Tai Chi, Therapeutic Touch, Touch for Health, and energy healing, just to name a few. Many hospitals in the United States now include such methods to help with the healing of a variety of conditions. 


The techniques I will be using and teaching you are based on the premise that by promoting balance and flow in the body’s electromagnetic and subtle energies, health and well being are enhanced. They may involve the use of certain postures or movements, or touching, holding, pressing upon, tracing, or circling over specified areas of the skin. They move, balance, enhance, and restore the body’s energies. I may also employ a procedure called “energy testing” where I apply light pressure to your outstretched arm, sometimes while you or I touch another area of your body. This is a way of assessing how your energies are flowing through specific areas of your body and may help us to identify the techniques that will be of most benefit for you. The methods we will be using lend themselves to highly individualized applications in the session. as well as to back-home self care. The goal is to help you reach a balanced energetic state that only requires an occasional "tune-up".Your own hands are amazing tools!!!

Disclosure: What Are The Limitations of My Energy Healing Practice


Energy healing is NOT a substitute for the diagnosis and/or treatment of medical or mental health conditions by a licensed health care professional. If you have a disorder that has been diagnosed by a licensed medical or mental health professional, or a condition that SHOULD be evaluated by a licensed health professional, my services should be used only in conjunction with your obtaining that care. Energy healing attempts to optimize the body’s overall health and vitality, but it is NOT to be used instead of appropriate care from a licensed professional.


In addition to the fact that energy healing does not diagnose or treat illness, another difference from visits to a medical doctor is that effective energy work requires your active participation between sessions. I will show you how to establish energy patterns that optimize body, mind, and spirit. Reinforcing these new patterns through the regular practice of energy exercises that I will recommend and teach to you is your part of the bargain.


Energy healing techniques can help bring disturbed energies back to a state of balance and harmony. These corrections will generally consist of various forms of light or deeper touch and movement of my hands within your energy field. If you are uncomfortable with being touched or with any of the procedures being used, please tell me immediately and I will instantly stop.  


While the methods I use and teach are gentle and considered non-invasive, it is possible that physical and emotional after effects may occur after your energies have been stimulated and adjusted. In some instances, deeper pressure is used to move energies that may be blocked or congested in a particular area of the body, and this may cause some pain or discomfort. Dizziness, nausea, or anxiety are relatively unusual, but not unheard-of side effects to energy work. If any procedure is uncomfortable or leads to discomfort for you in any way, please tell me at once. I will instantly stop if you request me to do so and can often provide a technique to rebalance energies whose stimulation is causing discomfort.

Sessions


I will generally schedule an appointment of 60 to 90 minutes duration at an interval we both agree upon. Sessions may be longer, shorter, more frequent or less frequent; this will be with prior agreement between us. 


I require 24-hour notice if you must cancel. I also understand that sometimes, life happens, and this isn’t possible. I allow one “get out of jail“ cancellation for this reason. For “no show” missed appointments with me, if it is a legitimate reason, I will honor the “get out of jail” policy one time. For a second time, I will charge you for a full session, and if it happens a third time, I will unfortunately need to discharge you from the association. Thank you for your understanding.

 Records


I keep brief records on each session, primarily noting the date of the session, techniques used, and any progress or obstacles that have come up as they relate to your goals with working with me.

Confidentiality


With the exception of the special circumstances outlined below, I will keep our work together confidential. I cannot and will not tell anyone else what you have told me, or even that you are using my services without your prior written permission. You may direct me to share information with whomever you choose, and you can change your mind and revoke your permission at any time. You may request to have someone attend a session with you.  If you elect to communicate with me electronically by email at some point in our work, please be aware that email is not completely confidential. All emails will be retained in the logs of your or my internet service provider. While under normal circumstances no one looks at these logs, they are in theory, available to be read by the system administrator of the internet service provider. Any email I receive from you, and any responses that I send to you may be kept as a part of your treatment record. Texts cannot be considered confidential either so please do not send sensitive information via text. Following are 6 exceptions to confidentiality:


  1. There are some situations where I am lawfully obligated to take action to protect others from harm, even if I have to reveal some information about a client’s treatment. For example, if I believe that a child, an elderly person, or a disabled person is being abused, I must file a report with the appropriate state agency. 

  2. If I believe a client is threatening serious bodily harm to another, I am required to take protective actions. These actions may include notifying the potential victim, contacting the police, or seeking hospitalization for the client.

  3. If I believe that you are in imminent danger of harming yourself, I may legally break confidentiality and contact the police, a local crisis team, or a family member or other intimates.


  4. In certain legal proceedings, particularly those involving child custody or those in which your emotional condition or treatment is an important issue, a judge may order my testimony. Confidentiality is not protected when a judge makes such as order or in certain other legal procedures. Consult with an attorney if you are involved in a legal situation where confidentiality may be at issue.


  5. If I am consulted by your spouse, partner, or another member of your family, we will in advance establish the limits of confidentiality. It generally limits a practitioner’s effectiveness when required to keep secrets, so my policy in most circumstances is that what you say and what we do can be shared with other family members. If this is what we establish, do not tell me anything you wish to be kept secret from other intimates. If confidential information is a concern, it is better for each family member to work with a different practitioner.


  6. I may occasionally find it helpful to consult other professionals about a member. During a consultation, I make every effort to avoid revealing the identity of a member. The consultant is also bound to keep the information confidential. If you don’t object, I will not tell you about these consultations unless I feel that it is important to our work together.


  7. If you come to your session under the influence of alcohol, or non-prescription substances I reserve the right to cancel your appointment and reschedule you to another time. It can be dangerous to your health to have any kind of energy therapy done while you are under the influence of these substances.

Contacting Me

I am often with a client or otherwise not immediately available by telephone. When I am unavailable you will reach my voicemail. I monitor it frequently and will do my best to return your call the same day you make it. If you are unable to reach me and feel you cannot wait for me to return your call, contact your family physician or healthcare provider. If you are experiencing a medical emergency, call 911 or to the nearest hospital emergency room. 


I am away from the office several times a year for professional obligations such as meetings, or teaching classes as well as the occasional vacation. I will do my best to notify you of any lengthy absences in advance so we can plan accordingly or even refer you to another energy healing practitioner as needed.

Donation Schedule

Please plan to make your donation at the time of your session. Please note, my business structure is that of a private membership association; I am not a non-profit so you cannot write off your donations as you might with a non-profit organization.

In Closing


I realize this is a lot of information to read and absorb. However, it is important to me that both of us are clear in our professional relationship, and that any questions or concerns you have are answered ahead of time to your satisfaction. I also encourage you to ask questions as they come up for you during our work together.

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