WAIVER & CONDITIONS

SPIRITUAL HEALING & Guidance - Quantum bioresonance therapy - BIODYNAMIC CRANIOSACRAL THERAPY CONSENT FORM 

I consent that I am in good physical health and of sound mind. I received information and understand that Spiritual Healing & Guidance, Quantum Bioresonance Therapy and Biodynamic Craniosacral Therapy which Margaret Harrsen combines in her treatments are a gentle, complementary spiritual-based approach to health that can assist my body in its natural ability to self-heal. 

I acknowledge and understand that this is accomplished through the use of contact and/or non-contact touch, as well as in-person or remote. It has been explained to me that Spiritual Healing & Guidance, Quantum Bioresonance Therapy and Biodynamic Craniosacral Therapy are complementary treatments/therapies not intended to replace currently prescribed medical treatments or medications as ordered by my physicians nor any other medical care I may be advised to seek by them. I have been informed that Margaret Harrsen neither diagnoses any medical conditions nor prescribes for any conditions that I may have, nor does she make any claims regarding specific results from the Spiritual Healing & Guidance, Quantum Bioresonance Therapy and Biodynamic Craniosacral Therapy that I receive. Any advice given is ultimately determined by my own free will and I release any liability to Margaret Harrsen.

I have been encouraged to consult a licensed medical professional for any physical or mental complaints I may have. Some of the indications for a Spiritual Healing & Guidance, Quantum Bioresonance Therapy and Biodynamic Craniosacral Therapy may include, but are not limited to: reduction in stress, pain, anxiety, supports the body’s intrinsic healing process and sense of well-being, decrease of tension in the body and for emotional-spiritual support. 

I have been informed that all client information and records are treated in a confidential manner. My experiences during these treatments are strictly confidential, subject to the usual exceptions governed by State or Federal laws and regulations. Except in the case of gross negligence or malpractice, I or my representative(s) agree to fully release and hold harmless Margaret Harrsen from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my treatment(s). My questions have been answered to my satisfaction regarding Margaret Harrsen's background and any of the applied healing modalities, and what I may expect from this session. By the signing of this release, I acknowledge that I have read and completely understand the terms of the release, that I am legally of sound mind, and voluntarily agree to the terms and conditions stated above. I give my consent to receive Spiritual Healing & Guidance, Quantum Bioresonance Therapy and Biodynamic Craniosacral Therapy from Margaret Harrsen. 

Signature _______________________________________      Date _____________ 

Parent/Legal Guardian Signature ____________________________ Date _____________