Informed Consent and Liability Release
Healing and medicine are two separate disciplines. Dynamic Shifts® method is the art of healing not the practice of Western medicine. Dynamic Shifts® is intended to be a supplement to, and not a substitute for, professional medical care and treatment. In the case of any serious medical ailment or condition, you should always consult your doctor for advice.
Dynamic Shifts® methods frees and harmonizes a person’s energies to stimulate innate health-promoting mechanisms and restore the body’s natural state of well-being. It does not attempt to diagnose, treat, or cure illness.
Rather than diagnosing or treating illnesses of body or mind, energy healing approaches target energy patterns in body and brain to optimize a person's well-being. Energy modalities are considered experimental by most members of the medical profession.
The theory of energy healing and energy medicine is that the human body has energy fields that can be affected by subtle energies and prayer. From the energy field, we can determine the harmony or disharmony of different aspects of the person. An in-depth analysis can be made of the field of current pathogens and dis-ease in the body as well as genetic patterns. Energy testing and analysis, combining science, intuition and research is offered as education. We use this method to test which vibrational signatures will improve the vibration of that aspect of the person. The conditions identified as creating disharmony are for the person to learn from and grow with.
Dynamic Shifts® is a holistic and deep healing technique that addresses the root cause of symptoms so that both the cause and symptom may be shifted.
Energy healing and energy medicine is a new field with ancient roots. It builds not only on what is known in Western science and medicine, it also draws heavily from Eastern health practices and disciplines such as acupuncture, yoga, focused prayer and qi gong. All analysis and energy work employ a technique of spiritual philosophy focused on thought and prayer. I am required by law to remind you that this is not to be considered as a diagnosis of, nor a prescription for any illness. The prayer and energy treatments you will receive are not licensed by the State and are alternative or complementary to healing arts services licensed by the state of Connecticut.
Please consult a physician for medical advice. It is entirely the choice of the person how to use this information.
The information provided on this website is for educational purposes only. It does not offer medical advice. Viewers should make their own independent inquiries and judgments before acting on any information it contains.
Giving consent for a session, workshop or class – please read the following and sign at the bottom.
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I understand the above statement in regards to services offered and give permission to Tracy Savage to perform such services – private sessions, workshops or classes – as outlined above.
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I have disclosed any information (health or otherwise) that may alter the effectiveness of services offered.
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I acknowledge that the practitioner is not a counselor, psychologist, psychiatrist, or physician of any kind. I understand that the practitioner is not licensed to diagnose illness, disease or any other physical or mental disorder. I clearly understand that this is not a substitute for a medical examination and or treatment.
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I understand that I may need to visit my personal physician for any ailments that I may be experiencing.
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I acknowledge that no assurance or guarantee has been provided to me as to the results of the private sessions, workshops or classes.
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I understand that if at any time I feel discomfort or have a problem with the session, workshop or class, it is my responsibility to voice my concerns.
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I understand that payment is required to secure my appointment: I agree to give at least 24 hours notice for cancellation to avoid cancellation fees which equal the cost of the session.
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I understand that I am responsible for paying the full fee of my session if I do not give 24 hour notice for cancelling or rescheduling. At any time during a session, workshop or class – I can request to stop the session or leave the workshop or class, though this does not entitle me to a refund.
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“I or my representative(s) agree to full release and hold harmless (Tracy Savage) from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s) or class(s).”
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I have read and understand the contents of this Disclosure Form and voluntarily choose of my own free will to receive the energy healing treatments I have selected.
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Tracy Savage will endeavor to do her very best to help you, but cannot offer a guarantee of success.
As my client you will always be treated with the utmost respect and integrity. Confidentiality is the underpinning principle of my work and you can be assured that all personal data and information will be kept safe, and confidential at all times.