I acknowledge the following to be true and accurate. It is my choice to receive alternative healing, and I understand that Divine Sound & Light Healing, LLC/ Pamela Reynolds (known as “Practitioner”) will be using gentle sound, vibration, and light healing during the sessions on/around me. I have completed this form to the best of my knowledge. I have stated all medical conditions that I am aware of, and I will update my practitioner of any changes to my health status. I understand that this practitioner is certified in Sound Therapy by Virtued Academy and will not diagnose illness, disease, or physical or mental disorders, nor do they prescribe medical treatments or pharmaceuticals. I acknowledge that these sessions are not a substitute for medical examination or diagnosis and that I should see a primary healthcare provider for those services. I understand that I alone am responsible for informing my primary healthcare provider that I am receiving these sessions and inquiring as to whether or not they may adversely affect my current health condition.
