ENERGY HEALING INTAKE | Alan Joseph Prampin

Thank you for choosing to explore energy healing. The purpose of this form is to help me understand your needs and goals, and to ensure our session is safe and tailored specifically for you. Please answer the questions to the best of your ability. All information you provide on this form and during sessions are confidential.

I understand that the practitioner does not diagnose conditions, nor do they perform medical treatments, prescribe substances, give medical advice or interfere with the treatment of a licensed medical professional.
I understand that this is a remote energy healing session conducted over internet video and or phone with no physical contact.
I understand that it is my responsibility to inform the practitioner of any changes in my health or well-being.
I give permission for the practitioner to work with my energy field to promote balance and relaxation for my highest good.
I understand that all information shared on this form and during the session will be kept confidential.

Please be assured that all information will be kept strictly confidential. No details will be shared with third parties without your written consent.

Thanks for submitting!

Alan Joseph Prampin

Energy Healing

Client Intake Form

WELCOME!

I understand that the practitioner does not diagnose conditions, nor do they perform medical treatments, prescribe substances, give medical advice or interfere with the treatment of a licensed medical professional.

I understand that this is a remote energy healing session conducted over internet video and or phone with no physical contact.

I understand that it is my responsibility to inform the practitioner of any changes in my health or well-being.

I give permission for the practitioner to work with my energy field to promote balance and relaxation for my highest good.

I understand that all information shared on this form and during the session will be kept confidential.

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