Address

234 Harwinton Ave,

Torrington, CT 06790

Get in touch

Please, arrive to the appointment on scheduled time , and please respect the practitioner’s time during the session.

Please, be considerate of the duration of your session. The client will be additionally charged for unscheduled time

Reiki and Spiritual Energy Session Client Information:

Reiki and Spiritual Energy Session Client Information:

Reiki and Spiritual Energy Session – Informed Consent 

hereby voluntarily request and consent to receive Reiki and Spiritual Energy services from Irena Varecka. I understand and acknowledge that no guarantees have been made to me as to the effect of such services. I further understand and acknowledge that in no way are these services meant to be construed by me as the diagnosis or treatment of disease, but rather as an aid to balancing my energy and to possibly improving my general wellness. I understand that prior to my first spiritual energy session, I will receive an oral explanation of and description of the session. I understand that I may refuse all services at any time during my first session or during any subsequent sessions. I understand and believe that the body has the ability to heal itself, and to do so complete relaxation is often beneficial. Long-term imbalances in the body sometimes require multiple treatments to allow the body to reach the level of relaxation necessary to bring the system back into balance. I understand that Reiki and Spiritual Energy sessions is not a substitute for medical treatment or medications, and it is recommended that I concurrently work with my Doctor or Primary Healthcare Provider for any condition(s) I may have. I am advised that if I am sick, I should consult my Doctor or Primary Healthcare Provider. I am aware that Irena Varecka does not diagnose illness or disease and does not prescribe medication or medical treatment. If I experience any discomfort during the session, I will immediately communicate that to the practitioner so the treatment can be adjusted.  Please, be aware that late cancellations or no-show appointments will be charged 50% of the appointment fee. It is requested that if you must cancel your appointment, that you provide more than 24 hours’ notice. A cancellation is late when the appointment is canceled without a 24-hour notice. A “no-show” is a patient who misses an appointment without canceling it. This includes arriving 15 minutes after your scheduled appointment. Any occurrence of a late cancellation or a "no-show" within 24 hours will be subject to a fee of 50% of the visit applied to the credit card stored on file 24 hours after the visit booking time. We understand that special unavoidable circumstances may cause you to cancel within 24 hours. Fees in this instance may be waived but only with management approval. By signing this form, I acknowledge that I have received a copy of the Paths of Inner Harmony, Irena Varecka notice of Privacy Practices. I understand that Irena Varecka agrees with privacy practices as stated in the Paths to Inner Harmony. 

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