Alden’s Energy Healing, LLC ©

Terms, Conditions, Consent, & Release of Liability

(scroll to corresponding HEaling Session Type)

Reiki Healing

This Intake, Disclosure, and Consent Form has been given to you to provide valuable information in assisting your healing. While sharing most information in this Form is voluntary, you must fill out the contact information immediately below, as well as type and check the consent at the end of this Form. All information we obtain about you, whether written or shared verbally during session, and whether from you directly or another source, will be held in the utmost confidentiality. We will never share your information, medical or otherwise, without your express written consent and direction, unless otherwise required by law. While providing personal and medical information about you is entirely voluntary, without this information you may impair the progress of your sessions and potentially create risks to your health.

As a Reiki Master, I would like to welcome you to my practice and provide some information relevant to our relationship and your experience during the energy healing process. Along with all other information you receive from me during your initial intake, please read this information carefully, as both myself as healer and you as client must sign this disclosure before we begin. Although not required, I will attempt to keep a copy of this disclosure and all other paperwork in my records for up to three years.

Reiki Treatment

The purpose of a Reiki healing session is for mental and spiritual well being. My method of treatment – energy healing – is an alternative or compliment to healing arts otherwise licensed by the State. We will use a variety of techniques to facilitate well being and clarity in the moment, while promoting long term self reliance through practical techniques to help raise consciousness, clear confusion, recognize intent, interpret meaning and quell doubt.

If you ever have any concerns about the nature of your treatment, you are free to discuss them with me at any time. As I am committed to monitoring your progress, I ask that you please bring any new information affecting your treatment as soon as practical. You are entitled to stop treatments at any time, with or without reason, and I recommend that you inform your medical doctor that you are receiving energy healing treatment. While I will use my best efforts during our sessions, I cannot guarantee any particular outcome as results vary from person to person.

State and Federal Law

I am not a licensed physician, nor are energy healing services licensed or controlled in most states. As your healer, I am responsible for knowing any applicable State and/or Federal laws that may apply to me, and for disclosing those laws to you. Since it is likely that any laws regarding reiki healing will change over time, I also encourage you to research and stay informed on current laws and to bring any changes to my attention.

Requirements to be a Reiki Master

In addition to my commitment to a professional Code of Ethics, I completed a sequence of classes through Katt Lowe's Reiki Training Program as well as Juliet Tang's Holy Fire Reiki Training Program. I also became attuned as a Reiki Master through Lune Innate. All teachers are Reiki Masters with a direct lineage. Further, I was required to perform healing sessions reviewed by my instructor and clients for effectiveness and professionalism, and otherwise encouraged to continue hands- on training in my practice. I received an Official Certificate of Completion. If you have not already done so, you may request to see my Certificate at any time or a current list of my other qualifications. You can also find my certifications on my website.

If you have any questions about how to complete this form, how we use your information, or what your rights are regarding your information, please ask your healer immediately before signing below.

I am requesting the service of Alden Gagnon, a healer, for the purpose of assisting me to access my own inner resources of healing energy so that I may learn to heal myself. *

All information I have provided in this Intake and Consent Form is accurate to the best of my knowledge. *

I understand no guarantees or warranties are made to the effectiveness of reiki healing, and take full responsibility for my expectations of the healing process. *

I have been explained and understand the associated risks with my practice of reiki healing, if any, and agree that it is my responsibility to seek any further information I feel I need. *

I am aware that, while these sessions have ASMR-like qualities, Alden does not do any additional ASMR-specific triggers as in her YouTube videos. We will be focusing more on grid and reiki energy work. *

I understand that, while certain medical options may be explained to me in the course of my healing, these explanations are in no way either a suggestion for medical treatment or any sort of prescription or medical directive, and do not constitute license *

I agree to pay my healer directly by Stripe upon submission of this form *

I release my healer, as well as any of his/her assistants or related business interests, from any and all liabilities or claims of any nature that may result my participation in crystal healing. *

I acknowledge that I have not been advised against pursuing such attention. My estate, heirs, administrator and executors are bound by this release also. *

I agree to pay, whether or not my healer has forgiven or waived a charge in the past, all the following non-refundable fees, without exception: the listed price for the duration of the reiki healing: a minimum of $111 for 60 minutes. *

Late Cancellation (Less than 24 hours before appointment time). *

I hereby release Alden Gagnon from any and all liabilities or claims of any nature that may result from this reiki healing session or from my failure to pursue medical attention or remedies for any physical ailments I may have. *

Crystal Reiki HEaling

This Intake, Disclosure, and Consent Form has been given to you to provide valuable information in assisting your healing. While sharing most information in this Form is voluntary, you must fill out the contact information immediately below, as well as type and check the consent at the end of this Form. All information we obtain about you, whether written or shared verbally during session, and whether from you directly or another source, will be held in the utmost confidentiality. We will never share your information, medical or otherwise, without your express written consent and direction, unless otherwise required by law. While providing personal and medical information about you is entirely voluntary, without this information you may impair the progress of your sessions and potentially create risks to your health.

As a Hibiscus Moon Certified Crystal Healer, and advanced Crystal Master I would like to welcome you to my practice and provide some information relevant to our relationship and your experience during the energy healing process. Along with all other information you receive from me during your initial intake, please read this information carefully, as both myself as healer and you as client must sign this disclosure before we begin. Although not required, I will attempt to keep a copy of this disclosure and all other paperwork in my records for up to three years.

Crystal Treatment

The purpose of a crystal healing session is for mental and spiritual well being. My method of treatment – energy healing – is an alternative or compliment to healing arts otherwise licensed by the State. We will use a variety of techniques to facilitate well being and clarity in the moment, while promoting long term self reliance through practical techniques to help raise consciousness, clear confusion, recognize intent, interpret meaning and quell doubt.

If you ever have any concerns about the nature of your treatment, you are free to discuss them with me at any time. As I am committed to monitoring your progress, I ask that you please bring any new information affecting your treatment as soon as practical. You are entitled to stop treatments at any time, with or without reason, and I recommend that you inform your medical doctor that you are receiving energy healing treatment. While I will use my best efforts during our sessions, I cannot guarantee any particular outcome as results vary from person to person.

State and Federal Law

I am not a licensed physician, nor are energy healing services licensed or controlled in most states. As your healer, I am responsible for knowing any applicable State and/or Federal laws that may apply to me, and for disclosing those laws to you. Since it is likely that any laws regarding crystal healing will change over time, I also encourage you to research and stay informed on current laws and to bring any changes to my attention.

Requirements to be a Hibiscus Moon Certified Crystal Healer

In addition to my commitment to a professional Code of Ethics, I completed a sequence of classes through the Certification Program and achieved a passing average grade of 75% or higher on the required corresponding assignments. Further, I was required to perform healing sessions reviewed by my instructor and clients for effectiveness and professionalism, and otherwise encouraged to continue hands- on training in my practice. I received an Official Certificate of Completion to be qualified to use the letters CCH after my name and earned 18 Continuing Education Units with the National Certification Board for Therapeutic Massage & Bodywork. If you have not already done so, you may request to see my Certificate at any time or a current list of my other qualifications.

If you have any questions about how to complete this form, how we use your information, or what your rights are regarding your information, please ask your healer immediately before signing below.

Consent and Release of Liability Items:

I am requesting the service of Alden Gagnon, a healer, for the purpose of assisting me to access my own inner resources of healing energy so that I may learn to heal myself. *

All information I have provided in this Intake and Consent Form is accurate to the best of my knowledge. *

I understand no guarantees or warranties are made to the effectiveness of crystal and/or reiki healing, and take full responsibility for my expectations of the healing process. *

I have been explained and understand the associated risks with my practice of crystal healing, if any, and agree that it is my responsibility to seek any further information I feel I need. *

I understand that, while certain medical options may be explained to me in the course of my healing, these explanations are in no way either a suggestion for medical treatment or any sort of prescription or medical directive, and do not constitute license *

I agree to pay my healer directly by Stripe upon submission of this form *

I am aware that, while these sessions have ASMR-like qualities, Alden does not do any additional ASMR-specific triggers as in her YouTube. We will be focusing more on crystal grid and reiki energy work. *

I release my healer, as well as any of her assistants or related business interests, from any and all liabilities or claims of any nature that may result my participation in crystal healing. *

I acknowledge that I have not been advised against pursuing such attention. My estate, heirs, administrator and executors are bound by this release also. *

I agree to pay, whether or not my healer has forgiven or waived a charge in the past, all the following non-refundable fees, without exception: the listed price for the duration of the crystal reiki/womb healing: a minimum of $222 for 60 minutes. *

Late Cancellation (Less than 24 hours before appointment time). *

I hereby release Alden Gagnon from any and all liabilities or claims of any nature that may result from this crystal healing session or from my failure to pursue medical attention or remedies for any physical ailments I may have. *

Womb Healing

This Intake, Disclosure, and Consent Form has been given to you to provide valuable information in assisting your healing. While sharing most information in this Form is voluntary, you must fill out the contact information immediately below, as well as type and check the consent at the end of this Form. All information we obtain about you, whether written or shared verbally during session, and whether from you directly or another source, will be held in the utmost confidentiality. We will never share your information, medical or otherwise, without your express written consent and direction, unless otherwise required by law. While providing personal and medical information about you is entirely voluntary, without this information you may impair the progress of your sessions and potentially create risks to your health.

As a Hibiscus Moon Certified Crystal Healer, and advanced Crystal Master I would like to welcome you to my practice and provide some information relevant to our relationship and your experience during the energy healing process. Along with all other information you receive from me during your initial intake, please read this information carefully, as both myself as healer and you as client must sign this disclosure before we begin. Although not required, I will attempt to keep a copy of this disclosure and all other paperwork in my records for up to three years.

Crystal Treatment

The purpose of a crystal healing session is for mental and spiritual well being. My method of treatment – energy healing – is an alternative or compliment to healing arts otherwise licensed by the State. We will use a variety of techniques to facilitate well being and clarity in the moment, while promoting long term self reliance through practical techniques to help raise consciousness, clear confusion, recognize intent, interpret meaning and quell doubt.

If you ever have any concerns about the nature of your treatment, you are free to discuss them with me at any time. As I am committed to monitoring your progress, I ask that you please bring any new information affecting your treatment as soon as practical. You are entitled to stop treatments at any time, with or without reason, and I recommend that you inform your medical doctor that you are receiving energy healing treatment. While I will use my best efforts during our sessions, I cannot guarantee any particular outcome as results vary from person to person.

State and Federal Law

I am not a licensed physician, nor are energy healing services licensed or controlled in most states. As your healer, I am responsible for knowing any applicable State and/or Federal laws that may apply to me, and for disclosing those laws to you. Since it is likely that any laws regarding crystal healing will change over time, I also encourage you to research and stay informed on current laws and to bring any changes to my attention.

Requirements to be a Hibiscus Moon Certified Crystal Healer

In addition to my commitment to a professional Code of Ethics, I completed a sequence of classes through the Certification Program and achieved a passing average grade of 75% or higher on the required corresponding assignments. Further, I was required to perform healing sessions reviewed by my instructor and clients for effectiveness and professionalism, and otherwise encouraged to continue hands- on training in my practice. I received an Official Certificate of Completion to be qualified to use the letters CCH after my name and earned 18 Continuing Education Units with the National Certification Board for Therapeutic Massage & Bodywork. If you have not already done so, you may request to see my Certificate at any time or a current list of my other qualifications.

If you have any questions about how to complete this form, how we use your information, or what your rights are regarding your information, please ask your healer immediately before signing below.

Consent and Release of Liability Items:

I am requesting the service of Alden Gagnon, a healer, for the purpose of assisting me to access my own inner resources of healing energy so that I may learn to heal myself. *

All information I have provided in this Intake and Consent Form is accurate to the best of my knowledge. *

I understand no guarantees or warranties are made to the effectiveness of crystal and/or reiki healing, and take full responsibility for my expectations of the healing process. *

I have been explained and understand the associated risks with my practice of crystal healing, if any, and agree that it is my responsibility to seek any further information I feel I need. *

I understand that, while certain medical options may be explained to me in the course of my healing, these explanations are in no way either a suggestion for medical treatment or any sort of prescription or medical directive, and do not constitute license *

I agree to pay my healer directly by Stripe upon submission of this form *

I am aware that, while these sessions have ASMR-like qualities, Alden does not do any additional ASMR-specific triggers as in her YouTube. We will be focusing more on crystal grid and reiki energy work. *

I release my healer, as well as any of her assistants or related business interests, from any and all liabilities or claims of any nature that may result my participation in crystal healing. *

I acknowledge that I have not been advised against pursuing such attention. My estate, heirs, administrator and executors are bound by this release also. *

I agree to pay, whether or not my healer has forgiven or waived a charge in the past, all the following non-refundable fees, without exception: the listed price for the duration of the crystal reiki/womb healing: a minimum of $222 for 60 minutes. *

Late Cancellation (Less than 24 hours before appointment time). *

I hereby release Alden Gagnon from any and all liabilities or claims of any nature that may result from this crystal healing session or from my failure to pursue medical attention or remedies for any physical ailments I may have. *

Signature Crystalline Attunement

This Intake, Disclosure, and Consent Form has been given to you to provide valuable information in assisting your healing. While sharing most information in this Form is voluntary, you must fill out the contact information immediately below, as well as type and check the consent at the end of this Form. All information we obtain about you, whether written or shared verbally during session, and whether from you directly or another source, will be held in the utmost confidentiality. We will never share your information, medical or otherwise, without your express written consent and direction, unless otherwise required by law. While providing personal and medical information about you is entirely voluntary, without this information you may impair the progress of your sessions and potentially create risks to your health.

As a Hibiscus Moon Certified Crystal Healer, Reiki Mater, and Intuitive, I would like to welcome you to my practice and provide some information relevant to our relationship and your experience during the energy healing process. Along with all other information you receive from me during your initial intake, please read this information carefully, as both myself as healer and you as client must sign this disclosure before we begin. Although not required, I will attempt to keep a copy of this disclosure and all other paperwork in my records for up to three years.

Crystal & Reiki Treatment

The purpose of a Signature Crystalline Attunement and acrystal & reiki healing session is for mental and spiritual well being. My method of treatment – energy healing – is an alternative or compliment to healing arts otherwise licensed by the State. We will use a variety of techniques to facilitate well being and clarity in the moment, while promoting long term self reliance through practical techniques to help raise consciousness, clear confusion, recognize intent, interpret meaning and quell doubt.

If you ever have any concerns about the nature of your treatment, you are free to discuss them with me at any time. As I am committed to monitoring your progress, I ask that you please bring any new information affecting your treatment as soon as practical. You are entitled to stop treatments at any time, with or without reason, and I recommend that you inform your medical doctor that you are receiving energy healing treatment. While I will use my best efforts during our sessions, I cannot guarantee any particular outcome as results vary from person to person.

State and Federal Law

I am not a licensed physician, nor are energy healing services licensed or controlled in most states. As your healer, I am responsible for knowing any applicable State and/or Federal laws that may apply to me, and for disclosing those laws to you. Since it is likely that any laws regarding crystal healing will change over time, I also encourage you to research and stay informed on current laws and to bring any changes to my attention.

Requirements to be a Hibiscus Moon Certified Crystal Healer

In addition to my commitment to a professional Code of Ethics, I completed a sequence of classes through the Certification Program and achieved a passing average grade of 75% or higher on the required corresponding assignments. Further, I was required to perform healing sessions reviewed by my instructor and clients for effectiveness and professionalism, and otherwise encouraged to continue hands- on training in my practice. I received an Official Certificate of Completion to be qualified to use the letters CCH after my name and earned 18 Continuing Education Units with the National Certification Board for Therapeutic Massage & Bodywork. If you have not already done so, you may request to see my Certificate at any time or a current list of my other qualifications.

If you have any questions about how to complete this form, how we use your information, or what your rights are regarding your information, please ask your healer immediately before signing below.

Consent and Release of Liability Items:

I am requesting the service of Alden Gagnon, a healer, for the purpose of assisting me to access my own inner resources of healing energy so that I may learn to heal myself. *

All information I have provided in this Intake and Consent Form is accurate to the best of my knowledge. *

I understand no guarantees or warranties are made to the effectiveness of crystal and/or reiki healing, and take full responsibility for my expectations of the healing process. *

I have been explained and understand the associated risks with my practice of crystal healing, if any, and agree that it is my responsibility to seek any further information I feel I need. *

I understand that, while certain medical options may be explained to me in the course of my healing, these explanations are in no way either a suggestion for medical treatment or any sort of prescription or medical directive, and do not constitute license *

I agree to pay my healer directly by Stripe upon submission of this form *

I am aware that, while these sessions have ASMR-like qualities, Alden does not do any additional ASMR-specific triggers as in her YouTube. We will be focusing more on crystal grid and reiki energy work. *

I release my healer, as well as any of her assistants or related business interests, from any and all liabilities or claims of any nature that may result my participation in crystal healing. *

I acknowledge that I have not been advised against pursuing such attention. My estate, heirs, administrator and executors are bound by this release also. *

I agree to pay, whether or not my healer has forgiven or waived a charge in the past, all the following non-refundable fees, without exception: the listed price for the duration of the Signature Crystalline Attunement: a minimum of $444 for 90 minutes. *

Late Cancellation (Less than 24 hours before appointment time). *

I hereby release Alden Gagnon from any and all liabilities or claims of any nature that may result from this crystal healing session or from my failure to pursue medical attention or remedies for any physical ailments I may have. *

Intuitive readings

This Intake, Disclosure, and Consent Form has been given to you to provide valuable information in assisting your healing. While sharing most information in this Form is voluntary, you must fill out the contact information immediately below, as well as type and check the consent at the end of this Form. All information we obtain about you, whether written or shared verbally during session, and whether from you directly or another source, will be held in the utmost confidentiality. We will never share your information, medical or otherwise, without your express written consent and direction, unless otherwise required by law. While providing personal and medical information about you is entirely voluntary, without this information you may impair the progress of your sessions and potentially create risks to your health.

As a spiritual mentor, I would like to welcome you to my practice and provide some information relevant to our relationship and your experience during the energy healing process. Along with all other information you receive from me during your initial intake, please read this information carefully, as both myself as healer and you as client must sign this disclosure before we begin. Although not required, I will attempt to keep a copy of this disclosure and all other paperwork in my records for up to three years.

Reiki Treatment

The purpose of a Reiki healing session is for mental and spiritual well being. My method of treatment – energy healing – is an alternative or compliment to healing arts otherwise licensed by the State. We will use a variety of techniques to facilitate well being and clarity in the moment, while promoting long term self reliance through practical techniques to help raise consciousness, clear confusion, recognize intent, interpret meaning and quell doubt.

If you ever have any concerns about the nature of your treatment, you are free to discuss them with me at any time. As I am committed to monitoring your progress, I ask that you please bring any new information affecting your treatment as soon as practical. You are entitled to stop treatments at any time, with or without reason, and I recommend that you inform your medical doctor that you are receiving energy healing treatment. While I will use my best efforts during our sessions, I cannot guarantee any particular outcome as results vary from person to person.

State and Federal Law

Alden is not a licensed physician, “certified” life coach, nor are energy healing services licensed or controlled in most states. As your healer and spiritual guide/coach, I am responsible for knowing any applicable State and/or Federal laws that may apply to me, and for disclosing those laws to you. Since it is likely that any laws regarding reiki healing will change over time, I also encourage you to research and stay informed on current laws and to bring any changes to my attention.

Requirements to be a Reiki Master

In addition to my commitment to a professional Code of Ethics, I completed a sequence of classes through Katt Lowe's Reiki Training Program as well as Juliet Tang's Holy Fire Reiki Training Program. I also became attuned as a Reiki Master through Lune Innate. All teachers are Reiki Masters with a direct lineage. Further, I was required to perform healing sessions reviewed by my instructor and clients for effectiveness and professionalism, and otherwise encouraged to continue hands- on training in my practice. I received an Official Certificate of Completion. If you have not already done so, you may request to see my Certificate at any time or a current list of my other qualifications. You can also find my certifications on my website.

If you have any questions about how to complete this form, how we use your information, or what your rights are regarding your information, please ask your healer immediately before signing below.

I am requesting the service of Alden Gagnon, a healer, for the purpose of assisting me to access my own inner resources of healing energy so that I may learn to heal myself. *

All information I have provided in this Intake and Consent Form is accurate to the best of my knowledge. *

I understand no guarantees or warranties are made to the effectiveness of reiki healing, and take full responsibility for my expectations of the healing process. *

I understand that Alden is not a certified life coach, and that all advice she offers me is suggestions based off of personal life experience and channeled/intuited guidance as support on my spiritual journey.

I have been explained and understand the associated risks with my practice of reiki healing, if any, and agree that it is my responsibility to seek any further information I feel I need. *

I am aware that, while these sessions have ASMR-like qualities, Alden does not do any additional ASMR-specific triggers as in her YouTube videos. We will be focusing more on grid and reiki energy work. *

I understand that, while certain medical options may be explained to me in the course of my healing, these explanations are in no way either a suggestion for medical treatment or any sort of prescription or medical directive, and do not constitute license *

I agree to pay my healer directly by Stripe upon submission of this form *

I release my healer, as well as any of his/her assistants or related business interests, from any and all liabilities or claims of any nature that may result my participation in crystal healing. *

I acknowledge that I have not been advised against pursuing such attention. My estate, heirs, administrator and executors are bound by this release also. *

I vow to use discernment when receiving this information and only act on and intake what feels resonant to me.*

I acknowledge that it is my duty to do no harm to fellow beings on this earth and Alden/Alden’s Energy Healing, LLC is not responsible for any actions I may take as a result of these spiritual coaching calls.*

I agree to pay, whether or not my healer has forgiven or waived a charge in the past, all the following non-refundable fees, without exception: the listed price for the duration of the intuitive: a minimum of $155.55 for 60 minutes & $88.88 for 30 minutes. *

Late Cancellation (Less than 24 hours before appointment time). *

I hereby release Alden Gagnon from any and all liabilities or claims of any nature that may result from this spiritual coaching call or from my failure to pursue medical attention or remedies for any physical ailments I may have. *