Ra Energy Healing  - Consent Form

Practitioner Details
Name: Matthew Reilly
Business: Ra Energy Healing
Email: connect@raenergyhealing.com
Insurance: [Insurance Provider & Policy Number]

 

1. About Ra Energy Healing

Ra Energy healing is a complementary therapy that works with subtle energy to release tension, promote relaxation, emotional clarity, and energetic balance.

  • Sessions may include hands-on or distance energy work, guided grounding, and reflection.
  • Responses vary from person to person. Some clients feel warmth, tingling, calm, or mental clarity.

Important: Energy healing is not a substitute for medical care or psychological treatment. You should consult a doctor or other qualified healthcare professional for medical concerns.

 

2. Client Responsibilities

By attending a session, you confirm that:

  • You have disclosed any relevant medical conditions, medications, or health concerns.
  • You take responsibility for your own healthcare decisions.
  • You understand the session is for wellbeing and support, not diagnosis or treatment.

 

3. Confidentiality

  • All sessions are confidential.
  • Information will only be shared if legally required (e.g., risk of serious harm).
  • Notes may be kept for your personal progress and to comply with professional standards.

 

4. GDPR / Data Protection (UK)

  • Your personal and health information is stored securely and used only for therapeutic purposes.
  • Data will not be shared without your explicit consent, except as required by law.
  • Records are retained for a minimum of 7 years.
  • You have the right to access, correct, or request deletion of your data at any time.

 

5. Online / Hybrid Session Notice

  • Online sessions are conducted via secure video platforms.
  • You are responsible for being in a safe, private space.
  • Sessions are not recorded without your consent.
  • Technical issues may occur; backup communication is via email or phone.

 

6. Cancellation & Payment Policy

  • Cancellation requires 24 hours’ notice (per booking platform agreement).
  • Late cancellations or missed sessions may incur the full session fee.
  • Payments are accepted via bank transfer, card, or booking platform.
  • Packages are non-refundable but may be rescheduled with notice.

 

7. No Guarantees Clause

  • Ra Energy Healing supports well-being, clarity, and energy balance.
  • Individual experiences vary.
  • No specific results or outcomes are guaranteed.

 

8. Safeguarding & Boundaries

  • Sessions are not crisis intervention.
  • You should contact emergency services, NHS 111, or a licensed healthcare provider for urgent concerns.
  • The practitioner reserves the right to end a session if inappropriate behavior occurs.