Frequency Demo

CLIENT CONFIDENTIALITY

I understand that any personal information I share with representatives of Essentials for Wellness will be kept confidential and will not be shared with anyone, except as required by law or with my written permission. I may withdraw my permission at any time.

DISCLAIMER

I understand that representatives of Essentials for Wellness are not medical professionals and do not diagnose, prescribe, or treat medical or psychological conditions.

Frequency sessions/trainings are intended to support general well-being and personal education and are not a substitute for medical care. I agree to continue any existing medical treatments or therapies as directed by my licensed healthcare provider and will consult them before making changes to my care plan.

CLIENT AGREEMENT

I choose to participate in a Frequency Session/Training with Essentials for Wellness for the purposes of relaxation, education, and personal wellness support.

I understand that:
  • My overall health and wellness remain my personal responsibility.
  • I may stop a session or decline any aspect of the session at any time without question.
  • The session is not a medical procedure, but an opportunity to experience and learn about frequency-based wellness tools.
  • I am responsible for communicating any health conditions or concerns that may affect my participation, and for avoiding any activities or equipment that may be contraindicated for me.

Contraindications (It is your responsibility to note these and to opt out if they apply to you)

  1. Individuals with heart disease.
  2. Pregnant women and infants.
  3. Individuals with lung complications.
  4. Individuals with impaired consciousness.
  5. Individuals with a body temperature exceeding 37°C (98.6°F).
  6. Individuals using life support equipment such as artificial cardiopulmonary bypass.
  7. Individuals with a tendency to bleed (e.g., uterine fibroids, during menstruation).
  8. Individuals with low heat sensitivity (e.g., those with nerve compression due to herniated discs, diabetic foot, or other conditions causing reduced sensation in the lower extremities).

By completing the form below, I confirm that I have read and understand this information, have had the opportunity to ask questions, and consent to participate.

PRE-SESSION CHECKLIST:

Please answer the following:
Do you have a pacemaker or any type of implanted device?*
If you have an implanted device can you turn it off?*
Are you pregnant?*
Do you suffer from a Hemorrhagic Disease?*
PLEASE SIGN YOUR NAME HERE: I have read and understand the information in this document and that I consent to Frequency treatment under the provisions stated. If I do not understand or consent to anything stated in this document, it is my responsibility to request and receive clarification before signing below*