INFORMED CONSENT FORM

The United States of America currently has no licensing policy in regard to Sound or Energy Healing, and Mai Ka Yang is not a licensed Medical Doctor or therapist. She does not deal with drugs, nor does she issue a diagnosis or suggest cures.

Mai Ka Yang’s purpose is simply to provide a safe space for her client to experience healing through natural processes. She consider the use of sound, energy, herbs, essential oils, crystals and any other natural healing modality as a way to encourage the body to get back to optimal functioning and everyone reacts to these methods individually. She make no claims for their medicinal actions, nor does she cite scientific evidence. Any information offered is done so on the basis of personal experience and traditional uses.

Mai Ka Yang’s clients agree to make their own choices as to what they do with the educational material they have been offered and are solely responsible for their own decisions and actions. It is always Mai Ka Yang’s recommendation to seek out the advice of a licensed healthcare professional whenever they feel it is necessary in regards to their own personal health, especially with serious conditions. Clients need to consult with their physician and get approval to attend healing sessions if they have metal in their bodies, suffered concussions, have a pacemaker, use an insulin pump, and the like. If in doubt, consult your physician before our time together.

Some issues such as suicidal thoughts or late-stage cancer are beyond the scope of Mai Ka Yang’s expertise and she would advise you to seek outside help.

Client understand that:

• An assessment will be conducted to determine the general health of their energy system

• Any suggestion made by Mai Ka Yang will be to assist their body’s natural ability to achieve a balanced state, to the extent that their body or their highest knowing will allow

• The goal of the client’s session will be identified as part of the initial process and that they will have input as well as give intent and permission for it.

• These sessions are not meant to replace treatment by established medical practices, and can complement them.

• There are no guarantees as to the results of treatment

• Mai Ka Yang is not a licensed physician and will neither diagnose nor prescribe any condition nor does she make any specific claims regarding results from the sessions that the client receive. Nothing in the work Mai Ka Yang does is considered the practice of medicine.

Client agree to:

• Raise any questions or concerns about anything they do not understand.

• Consider any suggestions Mai Ka Yang may raise concerning referrals to other health care practitioners, homework, or their desired focus/introspection.

• Take full responsibility for their own health care.

• Give consent to Mai Ka Yang to conduct a session to balance my energy system. Client acknowledge that this could involve touch and can request otherwise.

WHAT TO EXPECT

In general, a typical session begins with a short assessment to discuss the client’s concerns, thoughts or questions. During the session the client can choose to sit or lay down. While we try to make the client as comfortable as possible, if the client have specific needs, they can bring their own pillow or blanket, etc. We make every effort to assure that our clients feel safe and comfortable.

We may work on the client’s body or above the client’s body. If there are any areas that the client do not want work done, they are welcome to notify us. If the client do not wish to be touched they can let us know. Our work is intuitive so we feel the energy and work where the energy is stagnant, deficient, stuck or unbalanced. The client may feel many different results such as heat or cold, shivers, nausea, headache, relaxation, release, relief, etc. The client may also feel nothing at all. Any reactions can happen immediately or even months later. No reaction is positive or negative, it purely is. It may mean something to the client right away or it could be a mystery for a while. Both are normal. We find that energy medicine has a cumulative effect, so when the client treat themselves to regular sessions, better health and well-being are natural outcomes. At the end, we will check in about anything that came up for the client during the session.

The client have read the above statements and understand and agree with them. The client’s purpose for seeking the advice of Mai Ka Yang is done so for educational purposes only.

The client understand that Mai Ka Yang does not diagnose illness, disease, or mental disorder. Nor does she prescribe medical treatment or pharmaceuticals. It has been made clear that the client’s session is not a substitute for medical examination or diagnosis and that it is recommended that they will see a medical doctor for any physical or mental ailment.

The client agree that Mai Ka Yang cannot be held liable for any problems that might arise that they think could be attributed to the energy healing season. The client have stated all of their known medical conditions to Mai Ka Yang and if necessary will keep her updated on their physical, mental, and emotional health. The client acknowledge that Mai Ka Yang practices for the purpose of providing mental/emotional/physical and spiritual support using multiple techniques. The client attest that they understand the nature of the session and freely elect to receive the techniques. The client release Mai Ka Yang from any and all claims of malpractice, non-disclosure, or lack of informed consent.

Confidentiality

Mai Ka Yang fully protects the privacy and confidentiality of the communications with its Clients. At no time will Mai Ka Yang voluntarily divulge the professional relationship between themselves and their Clients without written permission from the Clients, unless required to do so by law.

Fees

• Payments must be paid in full prior to healing sessions.

CANCELLATION POLICY

NO REFUND.

If you need to reschedule or cancel your appointment, please notify us at least 48 hours in advance. Cancellation and/or no‐show appointments are billed to the client for the full amount.

Limitation of Liability

IN NO EVENT SHALL Mai Ka Yang BE LIABLE TO CLIENT FOR ANY SPECIAL, PUNITIVE, INCIDENTAL, INDIRECT, OR CONSEQUENTIAL DAMAGES OF ANY KIND IN CONNECTION WITH THIS AGREEMENT.

Scroll down for information on Sound Healing sessions.