I, [As stated below] consent to treatment for myself (or my minor child), and understand that the services provided by the practitioner Wayne McDonald is intended to enhance relaxation and increase communication within my body.

I understand that these services are not a substitute for medical treatment or medications. I am aware that diagnosis is not given and medication is not prescribed. I agree to continue to have regular medical check-ups as part of my overall health care plan.

I understand that participation is voluntary and that at all times I may choose to end my participation. I understand that I may experience ‘healing reactions’ during the 24 to 48 hours following the services provided.

I understand that any information exchanged during any session is educational in nature and is to be used at my own discretion. I also understand that any information imparted during these sessions is strictly confidential in nature and will not be shared with anyone without my written permission. I do, however, give the practitioner consent to use my case history and results without using my name. I understand that only the practitioner Wayne McDonald will have access to information in my file to enhance my healing.

I understand that by providing this informed consent I am assuming full responsibility for these services and I hold harmless the practitioner Wayne McDonald as provided.

I agree to the terms and conditions set out by this consent form and certify that the below information is true and correct. I agree to pay for distance sessions, should I request them.