Disclosure and Release Form

  • I understand that Celeste Creel is a Holistic Energy Healer having received certification as a Reiki Master, Integrated Energy Therapy, Angel Healing and Aka Dua.

    She is not a physician, psychologist or licensed as psychotherapist.

    I, therefore, am not seeking diagnosis for any mental or emotional disorder, nor am I seeking counseling.  I am voluntarily requesting energy healing, spiritual understanding, behavioral improvement and/or self-development.  This may include fully clothed breath work, guided imagery, movement, energy and crystal healing.

    The treatment provided by Celestial Medicine is alternative or complementary to healing arts services licensed by the state, and none of the modalities mentioned are licensed by the state.

    Such practice is fully permissible under the Business and Professions Code Sections 2052, 2053.5 and 2053.6 in effect as of January, 2003.

    I am advised to maintain appropriate care and treatment from my medical doctor, chiropractor, acupuncturist, herbalist, psychologist or other caregivers in order to maintain an effective network of health care on all levels.

    I take full responsibility for how I choose to interpret and implement all information and experience derived from any sessions I may have with Celeste.  I am responsible for my own life, choices and actions, which includes financial responsibility agreed to by my spouse or family, if applicable.

    I, the undersigned, therefore, release Celeste Creel from all liability, demands, claims, actions, loss, costs, risk, or compensation for indirect, incidental or consequential damages whether physical, mental or practical resulting from initial and succeeding sessions.
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