Informed Consent

TENTOTHIS INFORMED CONSENT IS TO BE SIGNED BY PARTICIPANTS PRIOR TO ENGAGING IN THE SESSIONS

I confirm that I am in a suitable physical, emotional, and mental condition to participate in the session, which includes work with energy-based therapies.
I acknowledge that if any of these conditions change, it is my responsibility to inform the Facilitators.

I hereby give my consent and authorize the above-named Facilitators to guide my energy therapy sessions in accordance with their professional qualifications and approach. The sessions may include the use of energy techniques, tapping, touch-based work, and integration support through coaching.

I acknowledge and understand that the Facilitators are not healthcare providers, medical doctors, or any other type of licensed medical professionals. They do not offer medical advice, diagnosis, or prescribe any methods or techniques as treatment for physical or psychological conditions.

The Facilitators provide information and recommendations of a general nature intended to support personal growth, self-awareness, and the harmonization of body and mind, with the aim of enhancing emotional, mental, physical, and spiritual well-being. I acknowledge that the use of this information is entirely my own responsibility, and the Facilitators bear no legal or other liability for how I choose to apply it.

Energy therapies and related techniques are not recommended for individuals suffering from epilepsy, seizures, cardiovascular diseases (including angina pectoris or a history of myocardial infarction), high blood pressure, aneurysm, glaucoma, retinal detachment, osteoporosis, acute or chronic injuries, or for those who have recently undergone surgery or are recovering from illness - particularly in the areas of the brain, mouth, teeth, nose, throat, thyroid gland, immune and lymphatic systems, lungs, chest, ribs, spine, neck, and/or reproductive organs. Participation is also not recommended for pregnant women.

Energy therapies are also not recommended for individuals with a history of mental illness, diagnosed personality disorder, prior psychiatric hospitalization or serious emotional crisis, or those prone to self-harm, suicidal thoughts, or psychotic episodes.

I have been informed about the nature of energy therapy services and/or have access to this information at www.ehtherapy.eu, and all my questions regarding the session have been answered to my full satisfaction.
I understand that I have the right to decline participation in the session. No guarantees or assurances regarding outcomes have been provided.

I have been informed and agree that photographs and video recordings may be taken during the session. Such material may be used in edited form on the Facilitators' social media channels. I also agree to receive information about future events organized by the Facilitators.

I acknowledge that I may withdraw this consent at any time by sending an e-mail to ehtherapy@post.cz. I understand that withdrawal of consent applies only to future processing and does not affect the legality of prior use based on this consent (before its withdrawal).

If you do not wish to grant consent, please mark the relevant options below with an "X":

☐ I refuse consent for the Facilitators to share photos or videos featuring my image on their social media.
☐ I refuse consent to receive promotional or marketing information.

In Prague on:         , 202..                                                                           Signature: ………………………………