FORMS 

By signing this agreement, you acknowledge that you are voluntarily participating in one or more of the following services offered by Qwantum Alchemy:

 

• Reiki Energy Healing (chakra balancing, trauma release, emotional clearing)

• Sound Healing Therapy (vibrational therapy, tuning forks, singing bowls)

• Kambo Detox Ceremony (sacred Amazonian frog medicine for deep cleansing)

• Hapé & Sananga Ceremony (sacred plant medicine for grounding and spiritual clarity)

• Light Language Activation (energetic attunement and DNA activation)

• Kundalini Energy Activation (awakening and realignment of life force energy)

• Women’s Wellness Rituals (cacao ceremonies, feminine energy healing)

• 1:1 Spiritual Mentorship & Coaching (personalized guidance for healing and transformation)

 

Client Acknowledgment & Health Disclosure:

I acknowledge that the services provided are not a substitute for medical or psychological treatment. I understand that these holistic healing practices are complementary therapies and should not replace medical care.

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Medical Conditions & Contraindications:

I confirm that I do not have any of the following conditions that may prevent me from safely receiving certain services:

• Heart conditions, blood clots, low blood pressure, or history of stroke (for Kambo & Hapé)

• Severe mental health disorders (e.g., schizophrenia, psychosis, bipolar disorder in an active phase)

• Pregnancy or breastfeeding (for Kambo, Hapé, and certain energetic activations)

• Use of antidepressants, SSRIs, or certain medications that contraindicate Kambo

• Glaucoma or recent eye surgery (for Sananga)

 

I take full responsibility for informing the practitioner of any health conditions, medications, or concerns that may affect my ability to safely participate.

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 Informed Consent & Release of Liability

I understand that:

• The results of energy healing, plant medicine, and spiritual activations vary from person to person.

• Temporary emotional, energetic, or physical detox symptoms may occur after sessions.

• I will follow all pre-treatment and post-treatment instructions provided to ensure my safety and maximize healing benefits.

• I am solely responsible for my well-being during and after my session.

• The practitioner is not liable for any adverse reactions, personal decisions, or experiences following the session.

 

 

By signing below, I confirm that I have read, understood, and agree to this contract.

 

 

 

 

 

 

 

 

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