Client Disclosure & Acknowledgment

Welcome. My intention is to create a supportive, respectful space where you can explore beliefs, emotions, patterns, and areas of your life that you may feel ready to understand differently.

Before we begin, please read the following information carefully.

Nature of ThetaHealing®

ThetaHealing® is a spiritual meditation and personal-development technique that may include meditation, intuitive exploration, subconscious belief work, personal reflection, and spiritual practices.

ThetaHealing® is a complementary practice and is not medical treatment, mental-health treatment, psychotherapy, counseling, psychiatric care, or another form of licensed healthcare. Official ThetaHealing materials likewise state that the technique is not intended to diagnose, treat, cure, or prevent medical or psychological conditions.

Scope of My Services

In my role as a ThetaHealing® practitioner, I do not use ThetaHealing® to:

• diagnose medical or mental-health conditions;

• prescribe medications or treatments;

• provide medical or psychological treatment;

• cure or prevent illness or disease;

• replace the care of a physician, therapist, psychologist, psychiatrist, counselor, or other qualified healthcare professional; or

• advise you to discontinue or change medication or professional treatment.

If you are currently receiving medical or mental-health care, you should continue following the recommendations of your licensed healthcare providers. Any questions regarding medication, diagnosis, or treatment should be discussed directly with the appropriate healthcare professional. ThetaHealing's current published policies similarly advise participants to remain under their licensed provider's care and not alter prescribed medication or treatment without professional guidance.

Your Participation Is Voluntary

You are always in control of your experience.

During a session, you may:

• decline to answer any question;

• choose not to explore a particular topic;

• decline any exercise or technique;

• ask to change direction;

• request a pause; or

• end the session at any time.

Your boundaries will be respected.

Emotional Awareness

Exploring subconscious beliefs and personal experiences can sometimes bring awareness to emotions, memories, relationships, or patterns that feel uncomfortable or unexpected.

You are encouraged to communicate openly if anything does not feel appropriate for you.

If an issue arises that requires medical, psychological, psychiatric, crisis, or other licensed professional care, you are responsible for seeking assistance from an appropriately qualified professional.

Client Responsibility

You understand that you remain responsible for your own:

physical health and medical care;
mental and emotional well-being;
personal decisions and actions;
relationships;
financial and career decisions; and
choices made before, during, and after a session.

Any intuitive observations, questions, spiritual perspectives, or personal-development guidance offered during a session are invitations for exploration. You are free to determine what resonates with you and what does not.

No Guarantee of Results

Every person experiences personal-development and spiritual work differently.

No specific outcome, healing, transformation, emotional change, relationship outcome, financial result, physical improvement, or other result is promised or guaranteed.

ThetaHealing's published policies similarly state that individual results vary and that participants remain responsible for their personal choices and outcomes.

Testimonials or experiences shared by other clients represent their individual experiences and should not be interpreted as a promise that you will experience the same result.

Confidentiality & Privacy

What you share during a private session will be treated with care and confidentiality.

Personally identifying information from your session will not intentionally be shared with others without your permission, except when disclosure is required or permitted by applicable law or legal process.

Please understand that electronic communication and online services—including email, video conferencing, online forms, and booking systems—cannot be guaranteed to be completely secure.

Independent Practice

Kim Jackson is an independently operated practice.

My services are provided independently and should not be interpreted as medical, psychological, or other licensed healthcare services simply because health, emotions, beliefs, or personal experiences may be discussed.

Emergency & Crisis Services

Kim Jackson does not provide emergency medical treatment, psychiatric emergency services, or crisis intervention.

If you are experiencing an emergency or believe you need immediate medical or mental-health assistance, please seek appropriate emergency or licensed professional care rather than waiting for a ThetaHealing® appointment.

Client Acknowledgment

By signing below, I acknowledge that:

☐ I have read and understand this Client Disclosure.

☐ I understand the complementary, spiritual, and personal-development nature of ThetaHealing®.

☐ I understand that ThetaHealing® is not medical care, psychotherapy, psychiatric treatment, counseling, diagnosis, or another form of licensed healthcare.

☐ I understand that my practitioner does not diagnose, prescribe for, treat, cure, or prevent medical or mental-health conditions through ThetaHealing®.

☐ I understand that I should continue appropriate medical or mental-health treatment and consult qualified healthcare professionals regarding medications, diagnoses, or treatment decisions.

☐ I understand that I remain responsible for my own health, well-being, choices, and actions.

☐ I understand that I may decline any part of a session and may pause or end my participation at any time.

☐ I understand that individual experiences vary and no specific result or outcome is guaranteed.

☐ I voluntarily consent to participate in ThetaHealing® sessions with Kim Jackson.

Client Name: __________________________________

Client Signature: _______________________________

Date: _________________________________________