Consultation Consent Form

Before proceeding with your consultation, please take a moment to review and complete this consent form. It outlines essential information regarding the nature of our services, your rights, and how we protect your privacy. By agreeing, you confirm your understanding and acceptance of the terms, ensuring a safe and supportive experience tailored to your needs.

Personal Information:

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Health and Well-Being:

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Energy Work and Emotional Well-Being:

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Consent and Agreement:

By checking this box and digitally signing this form, you agree to the following:

1. Healing Session Consent:
I understand that Rosalie Miles Alchemy Healing is an energy healing service that addresses emotional, physical, and spiritual well-being. This session is not intended to replace medical treatment, and I am encouraged to consult a medical professional for any medical conditions or concerns.

2. Confidentiality and Privacy:
I consent to having my personal information and session details kept confidential. I understand that Rosalie will respect my privacy and only share information if required by law or with my explicit consent.

3. Energy Work Consent:
I acknowledge that energy healing involves working with the body's energy field and emotions, and while the process is safe, I understand that I may experience emotions or physical sensations during or after the session.

4. Cancellation Policy:
I understand that I need to provide at least 24 hours' notice if I need to cancel or reschedule my session. Failure to do so may result in a cancellation fee.

You need to agree with the terms to proceed

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