Informed Consent

Claudia Gehlhaart practices energy healing, including Healing Touch, Yuen Method, EFT, Tong Ren, Energy Medicine, Traditional Shamanic Healing, and Muscle Testing, along with homeopathic methods, including flower essence remedies. Energy healing is a gentle energy-based approach to health and healing that can assist in the body’s ability to self-heal. Flower essence remedies are liquid extracts that are prepared for oral ingestion or topical application.

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Description of a Session

Sessions are provided in-person and over distance by Zoom, phone or by e-mail. For all of my sessions, I come to the session grounded and with heart-centered awareness.

During an in-person session, I will gently place my hands on or above a client’s fully clothed body and notice any irregularities or imbalances in the energy field. I then will use the following modalities to support the re-balancing of the energy system.

During a distance session, I use my intuition to notice any irregularities or imbalances in the energy field. I then use distance healing intention modalities such as visualization, imagery, or intention to support the re-balancing of the energy system.

Many healing traditions stress that the balancing of the energy field can support the body, mind, and spirit in moving towards or maintaining wellness.

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Acknowledgement, Consent, Client Rights

I have read and understand the disclosure regarding the services offered by Claudia Gehlhaart.

This is an agreement between the client and Claudia Gehlhaart (the practitioner) concerning the Energy Healing Session(s) and upon submitting this agreement the client agrees to all terms laid out in this agreement. By agreeing to the terms and policies you indicate that you have read, understand, and agree to each statement.

• I authorize and request my practitioner to carry out Energy Healing sessions.

• I also understand that while the course of my session is designed to be helpful, Claudia Gehlhaart can make no guarantees about the outcome of my session. Further, this process can bring up uncomfortable feelings and reactions such as anxiety, sadness and anger. I understand that this is a normal response to working through unresolved life experiences and that these reactions will be worked on between my practitioner and me.

• I am at least 18 years old, the age of consent to make any decisions as to my person and treatment.

• I understand that if my session is done in-person the practitioner may lay her hands lightly on my body, particularly on head and over the heart and stomach. However, this will be done only with my consent. I will remain fully clothed during my session.

• I understand that Claudia Gehlhaart provides healing intention therapies over distance and in person. These therapies include healing touch, yuen method, EFT, tong ren, energy medicine, traditional shamanic healing, muscle testing, and flower essence remedies.

• I understand that receiving a healing session will not interfere or replace traditional medical or psychiatric care but can enhance other medical/psychiatric treatments. Therefore, clients under current medical or psychiatric care should not stop treatments or medication without advice of their physician/psychiatrist.

• I understand that Claudia Gehlhaart does not diagnose or treat disease and is not a licensed physician or mental health practitioner.

• I understand that these sessions are not a substitute for diagnosis or treatment from a qualified or licensed health practitioner for illnesses, injuries, or other medical conditions.

• I understand that communication via email or cell phone may not be secure and take responsibility when using these communication channels to provide information.

• I give permission for Claudia Gehlhaart to leave or send me a message at the phone numbers and email addresses that I provide.

• I understand that all information between practitioner and client is held strictly confidential. There are legal exceptions to this:

a. The client authorizes a release of information with a signature.

b. The client presents as a physical danger to self or others.

c. Abuse and/or neglect are suspected.

d. The client is under criminal investigation and a subpoena by a court of law has been issued for information on the client.

In the case of #b or #c above, we are required by law to inform potential victims and legal authorities so that protective measures can be taken.

• I understand that I am responsible for payment of all fees charged at the time of service to be paid either prior to or on the day of service. I agree to pay for all services rendered.

• I am expected to arrive on time on agreed upon appointment date and time. If I am 15 minutes or more tardy, then I will be charged for this time accordingly. Cancellations must be made at least 48 hours prior to appointment; otherwise, I will be responsible for full cost of session. Should there be an emergency, no charge will be made, however, proof of said emergency will be required to void payment requirement.

• I understand that Claudia Gehlhaart reserves the right to refuse any session without providing a reason and can cancel said session at any time. Any payment made prior to a session that is canceled by the practitioner will be refunded in full.

• I understand that my relationship with my practitioner is entirely professional and so any behavior on my part that is not professional and can be deemed sexual or abusive will be reported to the authorities.

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By agreeing to the terms and policies, I certify that I have read and understand this agreement and have full knowledge of its meaning and effect. If I violate the agreement, I know that the practitioner may discontinue sessions.