All Clients Must Complete These New Client Forms Prior To Their Session

1.  I understand that Blu Dream Love and Wellness, which does Energy Healing; taught by Dr. Bradley Nelson (called the Emotion Code and Body Code coupled with other modalities and learning techniques) as practiced by Cynthia M. Kemper, seeks to identify, and eliminate underlying imbalances by releasing them within one or more of these primary areas: energy, systems, pathogens, structural, toxicity and nutritional needs. Also, utilizing Reiki after each session and may include the AO Scanner, Chakra Balancing, Meridians, and Core Beliefs. These methods promote harmony and balance within one’s body by supporting the body’s natural ability to heal itself when conditions are made right and are widely recognized as a valuable compliment to conventional medical care.

2.  I understand that the removal of these energetic imbalances by the Practitioner are not a substitute for medical care.  This information is not intended as medical advice as Cynthia is not a Physician and does not diagnose or treat illness nor diseases.  This information is not intended to replace any physician-patient relationship nor for consultation with a licensed healthcare provider.  It is also not meant to replace any medical treatments ordered by any physicians nor any other medical care you may have been advised.  I also understand that these methods are not a replacement for any psycho-therapeutic or counselling session in the treatment of any mental health issues or disorders.

3.  I understand that if my Practitioner suggests any utilization of supplements, nutrients, or herbal remedies that I may ingest; I will do so at my own decision, with recommendations that I seek the advice of a Physician whether Naturopath or a Functional Doctor.  

4.  I understand that a certain percentage of individuals following their session where trapped emotion(s) or other energy(s) were released may experience a “Processing”; which could manifest into a temporarily physical and/or emotional discomfort along with strong dreams/emotions.  These are considered a normal part of realigning and regaining energetic balance.

5.  I know that my Practitioner makes no claims as to healing or recovery from any illness/disease I may have now, nor the prevention of any either in the future; and that no guarantee is made towards validity.  I further understand that the use of any information I receive is at my own risk and the outcome is directly influenced by my personal life choices.

6.  I understand that if I have health concerns, I am recommended to seek the advice from an appropriate medical professional.  This information is offered as a service, and it not meant to replace any medical treatment.

7.  I understand that these sessions are confidential, and that any personal information would be used anonymously for educational and research purposes only.  

8.  I understand that I am advised to be self-informed about this work by visiting Discover Healing or by reading the book The Emotion Code. 

9.  I understand that by signing this form, I fully consent to participating in these sessions with the Practitioner stated on this form.