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Personalized Healing Program Form

Tania Smith
Rainbow Lovina Healing Arts, LLC
PO Box 159003
Nashville, TN 37215

Personalized Energy Healing Program for (Client's Name) by Tania Smith

Length: x Weeks x Day (x sessions)

Start Date:

End Date:

Daily sessions per week recommended

(amount) $ per week

Payment:

Amount x number of weeks =

TOTAL $

Client Discount $

TOTAL COST $

Once a week Tania will meet with (Client's Name) for a zoom or phone session and after the sessions are completed Tania and (Client's Name) will review.

Waiver: Although clients have reported positive outcomes including relief from long standing physical symptoms and other life problems, energy healing takes place in the spiritual domain on a soul level and is not a substitute for qualified professional medical advice or treatment, which is encouraged by Tania at all times. Tania Smith is not a licensed medical professional, makes no medical claims and does not diagnose or treat illness of any kind. Tania will however perform the energy sessions in good faith and do her best to initiate a positive response for the client. All information discussed with Tania is completely private and confidential.

Except in the case of gross negligence, I or my representative(s) agree to fully release and hold harmless Tania Smith from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s).

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October 28, 2022 1:21 pm CDT

Personalized Healing Program Form Uploaded by Tania Smith - Van Hoy - taniaspacegypsy@gmail.com IP 49.149.97.51