Name *

First Name

Last Name

Please take a moment to read the following policies below and check boxes to confirm you have read and understand them.

Payment is due prior to your session for all distance/ZOOM sessions *

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Cancellations: Twenty-four hour advance notice is required when canceling an appointment. This allows the opportunity for someone else to schedule an appointment. If you are unable to give us 24 hours advance notice you will be charged the full amount of your appointment. It also must be paid prior to your next scheduled appointment. Gift certificates will be voided in lieu of the fee. *

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No-shows: Anyone who either forgets or consciously chooses to forgo their appointment for whatever reason will be considered a "no-show". They will be charged for their "missed" appointment. *

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Late Arrivals: If you arrive late, your session may be shortened in order to accommodate others whose appointments follow yours. Depending upon how late you arrive, your therapist will then determine if there is enough time remaining to start a treatment. Regardless of the length of the treatment actually given, you will be responsible for the "full" session. Out of respect and consideration to your therapist and other customers, please plan accordingly and be on time. *

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If I experience pain or discomfort during the session, I will immediately inform my therapist so that session can be adjusted to my level of comfort. I will not hold my therapist responsible for any pain or discomfort I experience during or after the session. *

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I understand that the services offered today are not a substitute for medical care. I understand that my therapist is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat physical or mental illness. *

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I affirm that I have notified my therapist of all known medical conditions and injuries. *

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I agree to inform the therapist of any changes in my health and medical condition. I understand that there shall be no liability on the therapist’s part should I forget to do so. *

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I understand that my session is entirely therapeutic and completely non-sexual in nature. *

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By signing this release, I hereby waive and release my therapist from any and all liability, past, present, and future relating to my session. *

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I would like to receive occasional texts about session discounts, freebies & promotions.

We do not share your info with anyone else

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I would like to receive occasional emails about session discounts, freebies & promotions.

We do not share your info with anyone else

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1. Hypnotherapists, Energy Therapists, Reiki Practitioners, Wellness Coaches and Massage Therapists are not licensed physicians. They are not qualified to diagnose, treat or prescribe for physical or mental conditions. *

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2. The use of Hypnotherapy, Energy Therapies, Reiki, Coaching and Massage Therapy is an alternative and complementary to healing arts services licensed by the state of California. *

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3. The services offered are not licensed by the State of California but the training I have received has been approved and registered by the California Bureau of Private Postsecondary and Vocational education, The International Board of Regression Therapy, The Professional Board of Hypnotherapy, The California Massage Therapy Council, The California Board of Registered Nurses and the California Board of Behavioral Sciences. *

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4. Services offered include Hypnotherapy, Energy Therapy, Reiki, Wellness Coaching and Massage Therapy for the purpose of pain management, goal setting, self-healing, regression therapy, spiritual emergence issues, trauma, relationship issues, learning enhancement, stress management, personal growth and discovery. None of these services are intended to be a substitute for medical or psychological care. Any issues beyond the scope of my training and practice will be referred to a licensed practitioner. *

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5. The goal is to provide clients with a safe, non-judgmental and supportive environment where clients can gain insights to establish patterns of behaviors and work toward transformation and personal growth. Because all of the services and modalities are based on the empowerment model, all clients do their own works and healing with the guidance of a co-creative facilitator, with the exception of some hands on work related to Massage & Bodywork Therapy. *

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6. Ranjot Skywalker, CMT, CCHT has completed the California approved training in Hypnotherapy in 2013 and has attended 3 different Hypnotherapy Schools. He has been a Certified Massage & Bodywork Therapist meeting all California requirements since 2005. He has been a Certified Life Coach since 2019. Additional training includes EFT, CranioSacral Therapy, Reiki Master Level, Metatronia Therapy Master Level, Acutonics, Quantum Emotional Release, Kundalini Yoga, Access BARS, TRE, Life Coaching, Health Coaching and other Energy Therapy modalities. *

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