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Client Agreement Form

I, the undersigned, understand that healing sessions and spiritual offering provided by Eleanor Smith (hereinafter collectively referred to as VIBRATIONAL EMPATH) are for the purpose of stress reduction, relaxation and personal development. I understand clearly that a healing session or guidance provided by VIBRATIONAL EMPATH is not a replacement for medical or psychological diagnosis and treatment. As an empath and energy worker, VIBRATIONAL EMPATH does not prescribe or perform medical treatment or interfere with the treatment of a licensed medical professional.


It is recommended that I see a licensed physician or licensed health care professional for any physical or psychological ailment I have. Individual healing manifests in different ways and a particular outcome is not guaranteed. By entering into this agreement with VIBRATIONAL EMPATH participating in this and any future sessions, I declare to the Universe that I am taking charge and responsibility for my personal growth in whatever form it may take, for my highest good.

I am voluntarily participating in this session and I accept complete responsibility for my own psychological, mental, emotional, and spiritual well-being. In consideration of my voluntary participation in this and future sessions, I release, discharge, waive and forever relinquish VIBRATIONAL EMPATH from any and all claims, known or unknown, arising out of or in any way connected with my participation or involvement in this or future sessions.

I agree that in the event any claim for damages shall be prosecuted by VIBRATIONAL EMPATH or as a result of my acts or omissions, that I , or my estate, shall indemnify and save harmless VIBRATIONAL EMPATH from any and all claims, including the costs and expense (including attorney’s fees) of defending the same. I understand that sessions are considered confidential and shall not be disclosed except required by law. I have carefully read and fully understand this Agreement.

I am aware that this Agreement constitutes a contract between myself and VIBRATIONAL EMPATH and contains a release of liability on behalf of myself and my assigns, heir, executors, guardians and other legal representatives, and I sign this agreement of my own free will.

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