RELEASE FORM

The purpose of this release form is to clarify the nature of the service you are receiving and our agreement with each other.

Noetic Field Therapy is an application of ancient mysteries to modern therapeutic needs. Noetic means spiritual mind. The noetic field, is an aura of energy that surrounds the body. This field reflects our physical, emotional, mental, archetypal and spiritual levels. Spiritual centers, called chakras in yoga psychology, integrates this field and the systems of the physical body. These centers correspond with specific psychological structures. Blocks in the flow of this energy are caused by judgments that we made, or beliefs we constructed, in response to challenging or traumatic events. Each issue, or block, serves a deeper intentional soul aim to awaken you to a greater sense of center, wisdom, love or power within you. As our attachment to our limiting beliefs are transformed, we often have spontaneous awareness of the soul’s intention. Distortions in the field are also caused by the tension and emotion of every day living, which usually balance easily without conversation.

The practitioner's intention is to serve you in a way that you gain the most from your experience. Since it is a spiritual approach, it is non-inflictive. By that, we mean that your choice and highest good are never violated. From your perspective, give yourself the liberty to forgive yourself for limiting and self-judging beliefs, and allow yourself to respond to the experience as it is offered.

Because of the spiritual nature of the service, we make no promises as to the results or outcome you may receive. The effects are often subtle and you may not always be aware of changes. On the other hand, you may be aware of intense changes in new ways. You may need time to adjust to the positive changes resulting from your experience. For that reason, we suggest that you do not engage in sexual activity or the use of alcohol for the three days following your session. In our experience, consciousness altering, recreational drugs work against the nature of the therapy. By recreational, we are not referring to the use of consciousness altering substances administered under the strict guidance and guidelines of some mystery teachings, or to prescription drugs. Whatever the case, we ask that you abstain from non-prescription drug use for three days following our session.

We work from a spiritual alignment that assists you in your spiritual progression and well being. As the session begins, the practitioner will use a prayer that aligns her/him and evokes a spiritual presence that we call the Christ and Holy Spirit. This alignment is never in conflict with any positive spiritual path and will complement your spiritual practices. It is very compatible with Christian, Buddhist, Sufi (Muslim), Jewish, Taoist, Shamanic and Native American ways. If your fundamental spiritual viewpoint causes you to feel discomfort with my approach, this service may not be appropriate for you at this time.

After the opening prayer, the practitioner works silently for awhile, using my hand or a pendulum to sense, connect with the field patterns, and to focus balancing energy. As we progress, I assist you to frame appropriate self-forgiveness statements. It is your self-forgiveness that allows higher consciousness to balance any distortions in your field. No set of attitudes or beliefs are imposed upon you. Any suggestions made to you are given as options that may assist you in clearing and balancing your energy field. The therapy process will not exceed the limits that are appropriate for you as expressed by your own intuitive determination of the highest good. We make no claims as to the success or outcome of your experience. There is always a possibility that the session will miss your expectations; however, there is the same likelihood that your expectations will be surpassed.

The practitioner's background prepares him/her to sense and understand underlying causes of imbalance, to focus spiritual energy and otherwise assist you to use the experience to your greatest benefit. The source of change is within you. Consequently, we engage your inner wisdom and healing resources and assist you to forgive or reframe judgments you have made against your own spiritual essence. The pendulum used during this process acts as a tool to detect, release and focus energy. It is no more than an extension of the rapport and spiritual alignment that we share in the balancing relationship.

Noetic Field Therapy is primarily an educational process that touches many levels of your transformational learning. It does not replace the complementary services of counselors, psychologists, psychotherapists, psychiatrists, chiropractors or medical doctors, or any other professional providing services appropriate to your needs. The practitioner is primarily a spiritual educator, or ministering to your transformational needs and the curriculum of your soul.

After your first session, we recommend two additional follow-up session no sooner than two weeks apart. Each session builds a foundation for the next. After the first three sessions, scheduling a session every six to twelve months can be helpful. The final criteria is always your intuitive sense for when the next session would be helpful to you.

There are many energy field therapies available. Each has its unique contribution. Regardless of outer similarities, these services may not be the same, because of differences in practitioners, techniques and spiritual sources. I encourage you to consider each on its own merit and not compare.

For educational and review purposes, to time, a student or associate may be present in order to observe or assist in a session. This practice can only add to the quality of the balancing. Of course, if you are uncomfortable with their presence, we will honor your wish.

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I, (print) ______________________________________, read the Noetic Field Therapy Release Form, and witness that I generally understood the nature of the experience, and that the practitioner assisting me made no promises and is not liable for what I do with the service provided.

Client Signature: _______________________ Witness: _________________________

Practitioner: ___________________________ Appointment date: ______________

Birth date: _____________

Address: (print) ________________________________________________________

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Phone: (print) ____________________ e-mail: (print) ___________________________

©Copyright, Robert D. Waterman, 2000