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Client Intake and Service Agreement/Informed Consent Form for Channeled & Meditation Services

For new clients, please complete the form listed below.

Returning and new clients, Heather Anayaya reserves the right to modify these Terms of Use at any time by posting modified Terms of Use, and your continued use of this website, the content contained on it, and receiving channeled and meditation services thereafter will constitute the agreement with such modifications.

Client Intake and Service Agreement/Informed Consent Form
for Channeled, Meditation, and Practices of Intention Services

Please respond to each section.

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

Please read these Terms of Use carefully before scheduling your channeled, meditation, or practice of intention services with Heather Anayaya. By signing this form you agree to be bound by these Terms of Use.

The United States of America currently has no licensing policy regarding channeling, intuitive supports, meditation, or practices of intention, and Heather Anayaya is not a licensed medical doctor or therapist. She does not deal with medication, nor does she issue a diagnosis or cure. 

The purpose of channeled, meditation, and practice of intention services is to provide a safe space for clients to experience healing through natural, non-invasive processes. Heather Anayaya considers the use of channeling, meditation, practice of intention, and intuitive guidance to encourage the body to return to optimal functioning, and everyone reacts to these methods uniquely and individually. Heather Anayaya makes no claims for their medical actions.

As a client of Heather Anayaya, you agree to make your own choices as to what you do with the information you have been offered and are solely responsible for your own decisions and actions. It is always Heather Anayaya's recommendation to seek out the advice of a licensed healthcare professional whenever you feel it is necessary regarding your physical, mental, and emotional health, especially with serious conditions. 

Disclaimer: The services, materials, and opinions communicated by email, telephone, video conferencing, voice recording, or in-person by Heather Anayaya are for holistic, spiritual self-help and informational and educational purposes only. Nothing herein is intended to, nor should it ever, take the place of any medical, legal, financial, psychological, or other professional advice. If expert advice or counseling is needed, the services of a competent professional should be sought.​ The advice and opinions offered by Heather Anayaya do not constitute a substitute for professional treatment, therapy, or other types of professional advice and intervention.


Heather Anayaya does not assume any responsibility for errors, omissions, or contrary interpretations of the subject matter herein and will not be liable for any direct, indirect, consequential, special, exemplary, or other damages arising therefrom. Heather Anayaya,, and Heather Anayaya: Reclaiming Wholeness YouTube channel assume no responsibility for any consequence relating directly or indirectly to any action or inaction you take based on the information, materials, or opinions on this website or communicated by email, telephone, video, video conferencing, in written format, recording, or in-person by Heather Anayaya. You agree to indemnify Heather Anayaya,, Heather Anayaya: Reclaiming Wholeness YouTube channel, and its affiliates, members, managers, directors, officers, employees, agents, attorneys, contractors, and licensors against all claims, actions, suits, or other proceedings arising out of or incurred in connection with your use of the services, website, YouTube channel Heather Anayaya: Reclaiming Wholeness, in written format, voice or video recording, or a private or group practice of intention, meditation,  or channeled session.

Thank you for submitting!

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