New Client Form and Disclaimer

Ne Client Form and Disclaimer

How did you hear about us? *
May we thank the person who referred you, if applicable? *
If you were referred, would you like us to share information regarding your healing with the person who referred you?
Please know that Tammy will not read this form if you are seeing her for a medical intuitive reading and healing. A member of the Awestruck will review your information ahead of time.
Is there anything you would like Tammy or Lisa to know before your session?*
How often do you use caffeine, alcohol, drugs or nicotine? Please list what you use. and how often.*
List all current medications.*
List all current supplements.*
Are you currently under the care of a physician or therapist? Please list all diagnoses and name of physician/therapist.*
LEGAL DISCLAIMER

Tammy J. Andersen, ATR-BC
Lisa M. Shepherd, LMT
aha@awestruckhealingarts.com
(608) 279-9213

I understand that the techniques utilized by Tammy Andersen, ATR-BC, Lisa M. Shepherd, LMT and Awestruck Healing Arts, LLC are not intended to be a substitute or replacement for qualified medical advice, diagnosis, or treatment. Intuitive healing work performed as ordained ministers is in no way intended to diagnose, prescribe, treat, or cure any physical or mental disease. It is not advised to discontinue or to avoid medical or psychological consultations. In fact, there are cases where medical or psychotherapeutic consultations may be advised by Spirit. These techniques may accelerate the body's natural healing capacity, as a result please work closely with your physician to monitor your need for medications.

Any spiritual intervention or mentoring provided is not part of any recognized religion, but instead offered from the viewpoint of interfaith ministers who work with the Divine Collective and channel their loving messages and guidance. Any information gained through intuitive means is for entertainment and educational purposes only. The techniques are used to balance bioenergetic systems thereby reducing stress and enhancing health.

I understand that it is important to be honest with my practitioner and share what arises for me. I will alert Tammy or Lisa of any changes in spiritual, emotional, mental or physical health.

Full Disclosure: Tammy Andersen, ATR-BC is a registered, licensed, and board certified art therapist, but will not act as such during sessions, courses, workshops, events or through this website as an intuitive healer.

Tammy Andersen, ATR-BC, Lisa M. Shepherd, LMT and Awestruck Healing Arts, LLC have made every attempt possible to uphold confidentiality by providing secure electronic transmission between client and healer, but make no guarantee of the effectiveness of such attempt. Please understand that by initiating contact with Tammy Andersen, ATR-BC, Lisa M. Shepherd or members of the Awestruck Healing Arts, LLC team, you assume all risk. Tammy and Lisa will assume the way you initiate contact (email, text, phone message) is your preferred mode of communication and will respond to you in that way.

By signing this contract in digital format, I further acknowledge that I have read the “Terms and Conditions” regarding all policies including: confidentiality, communication, cancellations, and refunds. Terms and Conditions are available on: www.AwestruckHealingArts.com in the footer. If you do not have internet access and would like this information, please ask. A copy of your New Client Form will be kept in your client file. You may also keep a copy for your personal records. Note that the Awestruck Team will not see you without a signed legal disclaimer.

Tammy Andersen, ATR-BC, Lisa M. Shepherd, LMT and Awestruck Healing Arts, LLC and all associated websites and businesses (including One Stop Healing Shop) make no guarantees regarding effectiveness or outcome of any healing.

I agree to the following:
1. I have read, understand and agree to Awestruck Healing Arts, LLC Terms and Conditions, and Legal Disclaimer.

2. I understand that if I cancel a session less than 24 hours prior to the session or do not show up, the fee will be retained in full.

3. My signature (below) is considered a legal electronic signature, and is the same as my signed signature.

4. I do not hold Tammy J. Andersen, ATR-BC, Lisa M. Shepherd, LMT or Awestruck Healing Arts, LLC responsible for intuitive readings, energetic healing, or spiritual healing completed on my behalf. Session information may be shared among Awestruck healing Arts, LLC team members.
Digital Signature*
draw your signature