Registration IHC

WELCOME! Thank you for enrolling and participating in the Intensive Healing Circle presented and facilitated by me (the “Circle”).  The purpose of the Circle is to explore how it may be possible for me to help you with your spiritual healing process. The Circle is based on the idea that all healing is “self healing”.  Although I will use my skills and abilities as the facilitator of the Circle my work with you is only a resource.  As an intentional and conscious participant in your healing journey, you will ultimately take all responsibility for the actions related to your health and well being. 

As a participant in the Circle you understand I will be working with a variety of alternative healing and energy techniques (collectively “Energy Medicine”).  Energy Medicine is a collective terms used to refer to a variety of energy techniques based on the use, modification, and manipulation of energy fields that assess where the body’s energies are blocked or not in harmony and then correct and balance the flow of these energies thereby aligning the body’s energies to boost health, vitality and restore the body’s natural energies.  The prevailing premise of Energy Medicine is that the flow and balance of the body’s electromagnetic and more subtle energies are important for physical, spiritual, and emotional health, and for fostering well-being.

Although Energy Medicine appears to have promising mental, spiritual, and physical benefits, it has yet to be fully researched by the Western academic, medical, and psychological communities and therefore, is considered experimental.  Energy Medicine is self-regulated and is considered “alternative” or “complementary” to the healing arts that are licensed in the United States.  Since Energy Medicine is a relatively new healing approach and the extent of its effectiveness, as well as its risks and benefits, are not fully known, you agree to assume and accept full responsibility for any and all risks associated with participating in the Circle.    If you ever have questions or concerns about the theories applicable to what we do in the Circle, please feel free to ask me.

During Circle sessions I will set a “healing intention” to assist each group member with their process of dealing with cancer.  It is possible for you to experience changes in your energy or spiritual aspects, which then can manifest in the physical body.  If during or after any Circle session you experience any distressing reactions, please bring this to my attention, and if appropriate, I can recommend possible solutions, including discontinuing your work with the Circle and continuing with an appropriate licensed health care professional.  Please note that it is impossible to guarantee any specific results regarding your health goals.  We do not know how you will personally respond to participating in the Circle and/or whether our work together will help you achieve your goals.  However, we will work together to achieve the best possible results for you.

Although I am a licensed acupuncturist in the State of New York, you understand and agree that by facilitating the Circle I am not providing you with any medical or psychological treatments. You understand there is a distinction between “healing” using Energy Medicine and the practice of medicine or any other licensed health care practice.  Further, you understand and agree that your participation in the Circle and working with me using Energy Medicine methods is not a substitute for medical or psychological treatment.  You understand that you are advised to continue any medical or psychological treatment that you’re currently receiving.  In addition, you understand that any information shared during any Circle session is not to be considered a recommendation that you stop seeing any of your health care professionals or using prescribed medication, if any, without consulting with your health care professional, even if participating in the Circle you believe that such medication or therapy is unnecessary.  You agree to take full responsibility for your self-care in the, emotional, mental, physical, and spiritual dimensions of your life and to seek professional advice as appropriate before making any health decisions.

Due to the fact that the Circle involves group processes in which you may voluntarily reveal personal information you understand that you waive your rights of privacy and confidentiality.  Any stories or testimonials discussed or presented during any Circle session does not constitute a warranty, guarantee, or prediction regarding any outcome from participating in the Circle for any particular purpose. 

You understand that your participation in the Circle is strictly voluntary, at your own risk, and that you freely choose to participate and that you may stop your participation in the Circle at any time.  Further you understand I have the right upon written notice to you to terminate your participation in the Circle for any reason.  Also I have the right to terminate the Circle upon written notice to you for any reason at any time.  You represent that you’re competent and able to understand the nature and consequences of participating in the Circle.  Further, you represent that you are an adult under the laws of the state of your residence and you have the right to enter into this Agreement. 

You agree that this Agreement shall be governed by the laws of the State of New York, without regard to conflicts of law doctrines.  You also agree and understand that this Agreement is intended to be a complete unconditional release of liability and assumption of risk to the greatest extent permitted by law and that if any portion hereof is held invalid, it is agreed that the balance of this Agreement shall continue in full force and affect.  This Agreement shall be binding upon you and your heirs, legal representatives, and assigns.
  
By registering and participating in the Circle you acknowledge that you have carefully and completely read and fully understand all aspects of this Agreement and you agree to all of the terms and conditions stated herein.  For good and valuable consideration, the receipt of which is hereby acknowledged, you and your heirs agree to fully release and hold harmless, Suzanne Clegg and her heirs, personal representatives, agents, employees, independent contractors, consultants, volunteers, and others associated with Suzanne Clegg from any and all claims or liability, directly or indirectly, whatsoever and for any damage or injury, including but not limited to, personal, emotional, financial, psychological or otherwise, which you might incur as a result of your voluntary decision to participate in the Circle.