Informed Consent Form

Welcome.

I am honoured to work with you.

Please read the following 5 points and confirm your agreement at the end.

1. Scope of Practice

I am a somatic and integration practitioner, traditional postpartum care practitioner, Reiki Master, mentorship provider, and circle host.

I am not a licensed medical provider, psychotherapist, or mental health professional.

I offer a facilitated space for reflection, sharing, and integration around birth, postpartum, and life’s transformative passages.

This work is not intended to diagnose, treat, or replace medical or psychological care.

2. Personal Responsibilities

By joining this offering, you acknowledge that you are responsible for your own physical, emotional, and psychological wellbeing.

You are invited to participate at your own pace, in a way that honours your capacity, including pausing, stepping away, or choosing not to engage.

Participation is voluntary and at your own discretion.

3. Not a Substitute for Professional Care

This offering is not a substitute for individualized medical, psychological, or therapeutic care.

If you are experiencing significant emotional distress, trauma symptoms, or mental health concerns, you are encouraged to seek support from a qualified healthcare provider.

This space is not equipped to support individuals in acute crisis.

4. Confidentiality

You agree to respect the privacy of others by not sharing personal stories or identifying details outside of the space.

Confidentiality is a shared agreement and cannot be absolutely guaranteed. By participating, you acknowledge and accept this.

5. Release of Liability

To the fullest extent permitted by law, you release the facilitator, and the host (if applicable), from any liability related to your participation.

By agreeing to this, you acknowledge that you are choosing to participate voluntarily and assume full responsibility for your experience.

✧ Agreement

By booking or participating, you confirm that you have read, understood, and agree to this consent form.