Treatment Waiver

Please read the waiver entirely and complete at the bottom.

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I hereby acknowledge I have volunteered to participate in a paid or unpaid session, class, workshop, service or program with Diane Hudock-Pleeter, to include, but not limited to, any and all services provided, such as spiritual counseling, ministerial counseling, intuitive coaching, energy healing, sound healing, Biofield tuning, guidance, classes, teaching, yoga, meditation, product offerings and distance sessions including but not limited to all mentioned above.

 

I understand that spiritual counseling, energy healing, biofield tuning, and any services mentioned above are complementary healing modalities that does not substitute for legal, medical, or therapeutic advice, and it is my responsibility to secure such advisement. 

 

Spiritual, ministerial and/or intuitive counseling and any aspect of this work should not be used as a substitute for counseling, psychotherapy, psychoanalysis, mental health care or substance abuse treatment and I will not use it in place of any form of diagnosis, treatment or therapy.

 

I acknowledge and agree fully that no warranties or representations have been made to me regarding the results I will achieve from any insight, guidance, product, session, or program. I understand and fully acknowledge that results are individual and may vary. Although there are no harmful effects from this type of intervention, I hold Diane Hudock-Pleeter harmless from any possible effects that may cause temporary physical, emotional, mental, or spiritual discomfort. 

 

I do here and forever release and discharge and hereby hold harmless that Diane Hudock-Pleeter / Alchemy of Mastery Inc. and her respective agents, heirs, assigns, contractors, and employees from ANY AND ALL claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in a session or purchase or any program without limitation, which may occur as a result of following advice tendered and released or training rendered or use of facilities during a session or event or any kind. 

 

Diane Hudock-Pleeter (Alchemy of Mastery Inc.) shall not be held responsible and shall remain blameless for any adverse or other consequences, including but not limited to financial, personal, employment or other losses, arising out of decisions or actions I may make as a result of the Services provided.

 

I further acknowledge I am granted permission to audio record my one-on-one counseling sessions with Diane Hudock-Pleeter for personal use only. I understand that I MAY NOT share my recordings privately or publicly in any form, as to do so would violate the terms of this agreement, breach, trust, and break a code of privacy. 

 

Any unauthorized use, sharing, broadcast or release, personally or publicly, in any form, of a recorded session, is strictly prohibited and would be considered an illegal act and punishable by law. 

 

I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY BY SIGNING THIS DOCUMENT, I AM WAIVERING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST DIANE HUDOCK- PLEETER OR ALCHEMY OF MASTERY INC. FOR NEGLIGENCE OR THAT OF ITS EMPLOYEES, AGENTS, OR CONTRACTORS. *

 

 

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