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Energy Alignment Session Liability Waiver

Please review and sign the following Liability Waiver document before scheduling a private session.

Services Offered: Holistic mindbody wellness services, including yoga, somatic and nervous system based practices, sound healing, Somatic Energy Healing, Reflexology, Cupping, Assisted Stretching,  coaching, emotional alchemy, breath work, and meditation.

By checking the box/signing electronically, I acknowledge and agree:

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1. Nature of Services (Not Therapy or Medical Care)

I understand that the services provided by Erica Faith Dyer are holistic, educational, and supportive in nature. They focus on present-moment, body-based awareness, stress reduction, and nervous system support. These services do not include the diagnosis or treatment of medical or mental health conditions and are not psychotherapy, counseling, psychiatry, or any other form of licensed mental health or medical treatment.

I understand that any information, reflections, or guidance offered are for wellness, personal growth, and self-regulation support only, and should not be taken as medical, psychological, or psychiatric advice.

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2. My Responsibility for My Health and Care

I understand that I am solely responsible for my physical, emotional, and mental well-being before, during, and after sessions. I agree to seek or continue care with my own physician, therapist, or other licensed provider for any medical or mental health concerns, and to inform them of any symptoms or concerns I may have.

I affirm that I am able to participate in these sessions and that I will communicate any relevant conditions or limits to Erica.

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3. Assumption of Risk

I understand that mind–body and energy practices can bring up physical sensations and emotional experiences, and that there are inherent risks with any body-based or introspective practice. I voluntarily choose to participate and assume all risks associated with my participation, including any physical, emotional, or mental responses that may arise during or after sessions.

I understand I may pause, modify, or stop any practice at any time and may request to end a session if I feel uncomfortable.

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4. Confidentiality (Online Services)

I understand that Erica will keep my personal information and what I share in sessions private, except as required by law (such as imminent risk of harm to myself or others, or as otherwise mandated). I understand that online sessions use third-party platforms and that absolute confidentiality of electronic communication cannot be guaranteed.

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5. Release of Liability

In consideration of being allowed to participate in these services, I hereby waive, release, and hold harmless:

  • Erica Faith Dyer

  • Energy Alignment Services

  • Happiness Engineers LLC

  • and all employees, contractors, agents, and representatives

       from any and all claims, demands, causes of action, damages, losses, or liabilities arising out of or related to my          participation in these services, including but not limited to:

  • Any physical, emotional, or mental injury or harm

  • Any aggravation of existing conditions

  • Any damage to property or personal belongings

   to the fullest extent permitted by law.

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6. Acknowledgment & Consent

By checking the box/typing my name and submitting this form, I confirm that:

  • I have read and understood this Informed Consent & Waiver.

  • I have had the opportunity to ask questions and all questions have been answered to my satisfaction.

  • I voluntarily agree to participate in services with Erica Faith Dyer under these terms.

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