EarthWise Combination Informed Consent
By scheduling an EarthWise Combination session, you agree to the following:
I hereby voluntarily request and consent to receive Aromatherapy, Reiki, Crystal Therapy, and Angel Energy services from Lindsay Blotzer at EarthWise Wellness, LLC.
I will/have stated all my known conditions and have answered all questions honestly in all communications. I take it upon myself to keep Lindsay Blotzer updated on my health and changes to medications.
I understand that my Aromatherapy, Reiki, Crystal Therapy, and Angel Energy practitioner does not diagnose, prevent or treat illness, disease or any other physical or mental conditions. I understand and acknowledge that no guarantees have been made to me as to the effect these services.
I understand that these services are not a substitute for medical treatments and/or diagnosis, and it is recommended that I see a qualified professional for any physical or mental condition that I may have. I understand these services are not a substitute for medical care.
I understand that prior to my first session, I will receive an oral explanation of and description of a combination session. I understand that I may refuse any and all services at any time during my first session or during any subsequent sessions.
I understand and agree to follow the recommended use and guidance I receive with the Aromatherapy product I receive in this session. I hold my practitioner, Lindsay Blotzer, harmless for any injuries or negative effects I may experience as a result of using the Aromatherapy product I receive.
I understand that I am not being advised to take any essential oil products internally. I understand that I must keep all essential oil products out of the reach of children and pets. I understand that essential oils could be poisonous if swallowed and they may irritate the skin if not stored or used properly.
If I experience any irritation or discomfort from using any Aromatherapy products I receive from this consultation, I will stop use and alert Lindsay Blotzer immediately. If any children or pets ingest these products, I will call poison control immediately.
I understand that Lindsay Blotzer upholds the highest standards of care and professionalism and she abides by the International Association for Reiki Professionals® Code of Ethics and the National Association for Holistic Aromatherapists Code of Ethics.