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Client Intake and
Services Agreement/Informed
Consent Form for
Sound & Energy Healing

New clients: please read the Client Service Agreement and Terms of Use. Utilizing our services signifies your consent.


Please complete the new client intake form listed below. 

Discover the Power of Sound Healing

Client Intake and Service Agreement/Informed Consent Form
for Sound and Energy Healing

Please respond to each section.

Your typed signature verifies your consent to the enclosed Terms of Use.

Are you currently experiencing a medical or mental health condition, illness, or injury?
Do you have a pace maker, have metal parts or inserts in your body, have suffered concussions, use an insulin pump, wear a hearing aide or have another form of hearing device?

Thank you for submitting!

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