Reconnective Healing/The Reconnection ~ Debra Hadley ~

Specializing in Our Animal Brethren & Their People

Client Information Form



Companion Animal Information (if applicable):

I understand that:
o   Debra Hadley is not a physician, medical practitioner, veterinarian or other licensed healthcare provider and makes no representations, claims, promises or guarantees.
o   This work is complimentary to licensed healthcare fields and is not a substitute for medical or psychological diagnosis and treatment nor is it intended to treat specific health challenges.
o   Reconnective Healing® practitioners do not diagnose conditions, nor do they prescribe substances, perform medical treatment, nor interfere with the treatment of a licensed medical professional.
o   I should not discontinue any medical treatment or medications unless advised to by a licensed healthcare provider.
o   I further state that I am seeking these services of my own free will and without guarantees and I am solely responsible for my own, and/or my animal’s own medical care.
o   Reconnective Healing® is one of the many non-licensed healing arts practiced in this jurisdiction.

Mixing: Your Reconnection and/or Reconnective Healing sessions are not to be mixed with energy healing techniques, toning, crystals, or other “energy” practices. Mixing the sessions with anything dilutes them and reduces them to something other than the full Reconnective Healing and/or Reconnection. Avoid “energy” work starting a few days prior to your sessions and through the week following them.The more time you allow yourself to be in your own energy, the better.

I further understand that returning this email form confirms my acceptance of the above statements.

**All information that you share on this form will be entirely confidential**