Agreement and Consent:
I understand that CJ Hathaway uses The Emotion Code as well as various other healing modalities and techniques to remove negative energy with the intent of correcting physical and emotional imbalances to promote healing of body, mind and spirit, and I agree to receive these services.
I understand these services are not a substitute for medical care and that any information, advice or coaching I receive from CJ Hathaway is not intended to replace any treatments, prescriptions or diagnoses by medical professionals for physical or mental conditions or illnesses.
I further understand that CJ Hathaway makes no guarantees or promises of healing or recovery from any current or future illnesses or conditions.
I accept responsibility for my own healing.
I agree to communicate any questions or concerns I may have in a timely manner.
I understand that while information from my sessions is confidential, details about my results may be used anonymously for the purpose of promoting CJ Hathaway's services, and that only my initials and state or country of residence will be used.
I fully consent to my participation in CJ Hathaway's energy healing services as outlined, hold her harmless, and understand she accepts no liabilities of any kind.
My electronic signature below signifies that I have read, understand and agree to all information, terms and conditions outlined in this form.