ENERGETIC WELL BEINGTM Disclaimer, Consent
I hereby give consent to receive services offered by LeRoy Malouf/Energetic Well BeingTM (EWBTM) using the EWB Process© and other energetic methods including clearing, corrections and stress reduction techniques. I understand that these techniques are not a replacement for any treatment and may or may not accelerate the elimination of my symptoms, and that no claims are made with the use of these methods of treatment or cures for my conditions, symptoms, injuries, illness or disease. I further understand these services support but do not replace services provided by medical professtionals, and that it is suggested that I consult a licensed physician, therapist or counselor for diagnosis and treatment.
I hereby release LeRoy Malouf, Energetic Well BeingTM, and its colleagues from any liability, including personal injury, accident, or any physical, mental or emotional condition that may result from work done on and with me.