The purpose of this consent form is to explain my intent as well as what you can expect of a healing session.

I’ll perform specific shamanic healing techniques with my energy field and when appropriate with my hands.

These techniques may balance, clear, and charge your energy field and system, release energetic blocks that lead to disease, and enhance your body’s natural healing potential.

At times I may touch your body, other times my hands will be working off of your body.

If at any moment during the session, you are uncomfortable, please inform me immediately.

Self-care is an integral part of your healing process.

During your session, we may discuss the major stresses in your life, belief systems, childhood, health history, habitual thoughts & patterns, and other issues that have an influence on your emotional, mental, and physical well-being.

Confidentiality is assured.*

Be aware that I may discuss, in confidence, our work with a supervisor or professional peer for the purpose of my continuing professional development and to improve my ability to serve you.

At all times your healing is your responsibility.

I am available to be your committed shamanic practitioner in this process.

I will not and cannot advise you to discontinue any medical treatment you may be receiving.

My work is intended to be in harmony with any other healing work that you undertake, including conventional Western medicine.

Please feel free to discuss our work with your doctor.

I am not a physician and therefore do not diagnose diseases or prescribe drugs.

I serve as a Shamanic Healing Practitioner.

Booking a healing session with me assumes you have read & understand the above before you attend the session(s).

Release form for Shamanic Healing Treatment with Kevin Humphrey ( EnglishMystic )

It is assumed that before the session you agree that:

I, {your name } understand that Kevin Humphrey ( EnglishMystic ) does not diagnose illness, disease, or mental disorder. Nor does he prescribe medical treatment or pharmaceuticals. It has been made clear that shamanic healing is not a substitute for medical examination or diagnosis and that it is recommended that I see a Doctor for any physical or mental ailment. I will/have stated all of my known medical conditions to Kevin Humphrey ( EnglishMystic ) regarding my physical, mental, and emotional health. I attest that I understand the nature of shamanic treatment and freely elect to receive shamanic healing treatments. I release Kevin Humphrey ( EnglishMystic )  from any and all claims of malpractice, non-disclosure, or lack of informed consent.

Signed in agreement {your name and signature } date { date } 

 Thank you.

Confidentiality is assured.*

I am registered with the Information Commissioner Office: Learn more at https://ico.org.uk/

Organisation name: Kevin Paul Humphrey Limited

( Kevin Paul Humphrey of Kevin Paul Humphrey Limited trading as EnglishMystic )

Reference: ZA532757

NOTE that each reference to EnglishMystic and / or Kevin Humphrey is in reference to ( Kevin Paul Humphrey of Kevin Paul Humphrey Limited trading as EnglishMystic )