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Animal Quantum Healing Intake & Consent Form

Client Details

Multi-line address

Animal Details

Date of Birth (approximate if unknown)
Day
Month
Year
Sex
Desexed?

Reason for Session

Background Information

Your Relationship With Your Animal

Consent & Acknowledgements

Please read and acknowledge the following:


  • I understand this is a complementary, non‑medical, quantum healing session

  • I consent to the practitioner accessing information through muscle testing, intuition, and energetic awareness, while acting as a surrogate.

  • I understand sessions are conducted remotely and not in real time

  • I consent to the practitioner accessing my animal’s subconscious or energetic field for the purposes of this session

  • I understand this session is not a substitute for veterinary care, diagnosis, or treatment

  • I understand that, where relevant, the practitioner may also work with the owner’s energetic field in a general and non-specific way as it relates to the animal’s wellbeing

  • I consent to the general release or balancing of owner-related energetic patterns that may be contributing to my animal’s symptoms or disease, without this constituting a full or separate quantum healing session for me

  • I consent to the practitioner instilling supportive or positive energetic beliefs or intentions within my energetic field where this supports my animal’s healing process

  • I understand that healing is often layered, and that symptoms or disease may have multiple contributing factors that unfold over time. I understand that multiple sessions are often required to address deeper or root causes, and that the practitioner generally recommends a minimum of three (3) sessions, with five (5) to ten (10) sessions commonly recommended for chronic or more severe conditions. I understand that results vary and no specific outcomes can be guaranteed.

  • I understand that the practitioner conducts sessions with a very safe protocol, so that all energy fields are protected during the session; so that only truthful and accurate information is received and the highest possible outcome for healing can be achieved

  • I understand the session will be recorded and delivered via video, voice message, and/or PDF summary

  • I understand that the practitioner's intentions are to bring into balance all levels of the being, so that the animal can be in 100% health and harmony.



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Northern Rivers NSW

Australia 2480

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