Pura Vida Energy Healing
Client Intake Form

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I understand that Energy Healing is a simple, gentle, energy technique that is used for stress reduction and relaxation. I understand that Energy Healing practitioner does not diagnose conditions nor do they prescribe or perform medical treatment. I understand that Energy Healing does not take the place of medical or psychological care. I understand that Energy Healing can complement any medical or psychological care I may be receiving. I also understand that the body as the ability to heal itself and to do so, complete relaxation is often beneficial. I acknowledge that long term imbalances in the body sometimes require multiple sessions in order to facilitate the level of relaxation needed by the body to heal itself. I acknowledge that self-improvement requires commitment of my part, and I must be willing to change in a positive way if I am to receive the full benefit of Energy Healing 


All information received during the session will be held I the strictest confidence unless there is a threat of danger you may harm me or yourself as required by a court of law.


(If client is a minor a parent or guardian must sign) 


Privacy Notice: No information about any client will be discussed or shared with any third party without written consent of the client or parent/guardian if the client is under 18

Crystal Healing

We are all energetic beings, absorbing another people’s energy unless we learn how to protect ourselves. Sometimes, this energy that was taking in from friends, family members, co-workers or from a former loving relationship can be negative and may stick to us indefinitely, leading to profound impact in ourselves, and consequently, appearing diseases and emotional imbalances or traumas.

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“I have tried other products that worked fine, but this one is certainly the best of them all. It brings efficiency to a new level of simplicity.”

Jane Faber, New York

“If you are looking for a high quality company, I highly recommend this one. They are the very best in the field, no compromise.”

John Smith, Jersey City

“The first time I tried this company, I was hooked. Everything was so fabulous, modern and easy. I’ll never go back to working with anyone else.”

Madelaine Taylor, Paris

Sacred Geometry Healing

Sacred geometries can exist at many frequencies of energy and are very different in their qualities and purposes. Sacred geometry emanating from Source frequencies of energy, and higher dimensions of existence, are the most powerful for soul ascension and spiritual awakening.

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