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Client Agreement for Reiki, Sleep Well, and all Programs


I _________________________________________________________ understand that I need to adhere to the following code of conduct;

All the information provided below is true and correct to the best of my knowledge and beliefs.

I have sufficient information about the practice and have agreed to undertake one or more Session(s) to address key issues in my life. I am committed to taking positive action in order to make improvements in my life, and to meeting the goals I identify as necessary to do this. I am committed to being as open and honest as necessary in order to work with my practitioner towards achieving my goals. I will make every effort to remain positive about what I have and what I will achieve.

I commit to being fully responsible and accountable for the decisions and choices reached during the practice session and while I work on unlocking my true potential.
I will forgive myself for any failures and stop and listen to my inner guide not my inner critic.
I will have no judgement and remember I am doing the best I can in every moment with what I have.
I will let go of resentments as I encounter them.
I will be honest with myself and trust myself, honesty gives me the power to change my life.
I will be mature and not let others push my buttons. I will experience my emotions the way I want to.
I understand that the practitioner may use various techniques during the practice sessions, and that the practitioner is competent in the use of such techniques. I understand that practice is a comprehensive process, which may involve all areas of my life including work, family, health, relationships, education and recreation. I acknowledge that deciding how to handle any issues is my responsibility. I will also…
Always attend all meetings on time.
Always telephone or be online at the agreed time.
Always be prepared for the call or meeting.
Send any forms back promptly and fully completed.
Consider what actions may be necessary prior to and after our sessions.
Be honest at all times. Never lie about what I have achieved. It does not serve me.
Hold myself responsible for my own choices and not use discomfort as an excuse not to move forward.
Agree that my practitioner can challenge me if I am deceiving myself or on any areas appropriate to do so.
Be willing and enthusiastic about trying new methods that my practitioner may suggest from time to time.
Accept and willingly work on direct, honest feedback received.
At all times work in partnership.
Be prepared to work on all areas of my life.
Be prepared to step outside my comfort zone into an achievement zone with support.

Some of the techniques adopted by Ruth Kaplan during my consultation may initially engage me in some of the emotions and symptoms of the issues that I am addressing, and it is vitally important that I continue to do whatever I am instructed to do until I am fully calm and clear of the emotions and symptoms.

The therapies offered by Ruth Kaplan are not a replacement for professional medical advice and if I have a condition either mental or physical that requires me to, I will seek treatment from my doctor or the appropriate medical profession.
I understand that practice is not a substitute for counselling, mental health care or substance abuse treatment.
I must not cease treatment or medication prescribed to me by my doctors or health care workers without prior consultation with that professional.
If appropriate, I will inform my doctor or health care worker of the work I am doing with Ruth Kaplan

I promise to inform my practitioner if I am currently in any kind of therapy and that any medical or therapeutic practitioners involved in my care have been advised of my intention to work with a practitioner.

I recognize that you will always have my best interest at heart and that with hard work and an open mind, I can make life-changing strides in my life towards my goals. However, as with anything in life, there are no guarantees and my success is dependent on my effort outside of the practice as well. If there are any problems, I will not publicly disparage your services but will however give you full feedback, so we can have an agreement, if necessary.

I have read and agree to the points and agreements above and will honor them during our practice relationship.

Signed: ___________________________________ Date: _________________

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