CLIENTS SELF CARE AGREEMENT
1) If any feelings of self-harm come up while undergoing shamanic work. Will you agree to seek professional help immediately?
2) Are you receiving medical care for all known medical conditions?
3) Are you up to date in receiving your physical examinations from your physician?
4) Do you fully understand that you have been encouraged to seek attention for any known medical conditions?
5) Do you agree to not participate in shamanic work if so. An instead consult with a primary care physician if there is any credible concern that a physical condition could manifest during the time you work with us?
6) Do you agree to not hold me responsible for any physical, psychological, psychiatric or any other concern you may have, in the past, present, or that might appear in the future?
7) Do you agree that I have permission to consult with your named professionals ( psychotherapists, psychiatrists, social workers, physicians, etc) from the present date, and then up to six months from the date of last shamanic work done?
8) Will you agree to let me decide if an emergency exists and waive confidentiality , If I determine such an event to happen?
9) Will you agree to not participate in shamanic sessions with me if you have any suspicion of physical or psychological or psychiatric concerns that may arise?
10) Will you take complete responsibility for your health and overall fitness to engage in shaminic work with me?
2) Are you receiving medical care for all known medical conditions?
3) Are you up to date in receiving your physical examinations from your physician?
4) Do you fully understand that you have been encouraged to seek attention for any known medical conditions?
5) Do you agree to not participate in shamanic work if so. An instead consult with a primary care physician if there is any credible concern that a physical condition could manifest during the time you work with us?
6) Do you agree to not hold me responsible for any physical, psychological, psychiatric or any other concern you may have, in the past, present, or that might appear in the future?
7) Do you agree that I have permission to consult with your named professionals ( psychotherapists, psychiatrists, social workers, physicians, etc) from the present date, and then up to six months from the date of last shamanic work done?
8) Will you agree to let me decide if an emergency exists and waive confidentiality , If I determine such an event to happen?
9) Will you agree to not participate in shamanic sessions with me if you have any suspicion of physical or psychological or psychiatric concerns that may arise?
10) Will you take complete responsibility for your health and overall fitness to engage in shaminic work with me?
