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CLIENT INFORMATION LETTER AND CONSENT FOR TREATMENT

I am pleased to meet you and to have the opportunity to work with you. Here is some basic information about the
healing work in which I am trained and what you may expect during a session.
I am a Brennan Healing Science Practitioner. Among the various techniques that I use are healing by laying on of
hands and energy work, done both with my hands on the body and also through the Human Energy Field which
surrounds the body.


I do not medically diagnose or prescribe treatment. If you have a physical injury or disease condition, I ask that
you also be in the care of a licensed medical professional. I do not advise you to discontinue any medical
treatment you may be receiving. I may also ask that you be in the care of a qualified psychotherapist. My work is
intended to be in harmony with any other healing work that you undertake, including traditional medicine and
psychotherapy. Please feel free to discuss our work with your physician, psychotherapist or others on your care
team.


It is my experience that my work clears and charges the energy field, removes energetic blocks that lead to
dis-ease and enhances the body’s natural healing capability. Many of my clients experience increased well-being
and improvement in their condition; however, I cannot promise you these things.


Self-care is an extremely important part of your healing process. At all times your healing is your responsibility. If
at any time during the session you are uncomfortable, it is your responsibility to inform me immediately. I also
recommend that you refrain from using alcoholic beverages for 24 hours before and following your session.
My approach to healing and personal transformation is holistic, focusing on you as a unique, complex, dynamic
being of body, mind and spirit. I offer to serve as a facilitator in your self-initiated process of healing and
transformation. I am here as your committed listener, your mirror, your partner in the process. In the course of our
work together, we will explore areas that influence your state of well-being. We may address your health history,
life stressors, belief systems and attitudes, your family and childhood history, diet, exercise, dreams, longings and
how you are in relationships.


Your sharing is always kept confidential. I do, however, discuss clients, without mentioning their names, with my
professional supervisors or professional peers for the purpose of my continuing professional development and so
that clients may receive the most assistance available.


We may prefer to set up a regular schedule to work but there is never any obligation to continue treatment. My
fee is currently £80 per one-hour session online, £90 for an in clinic session and £125 for an at home session.
I will give you 30 days’ notice of any increase in my fee. If you cancel an appointment, please give me as much
notice as possible. I ask for full payment for the session if you cancel within 48 hours from the scheduled time.
Attached to this letter please find the Principles of Practice for Brennan Healing Science Practitioners which is the
ethics statement of my healing profession.


In signing the acknowledgment, you agree that I may work with you in the above-described manner. I am happy
to answer any questions regarding my services and I also encourage you to express any concerns you may
have.


In partnership for your healing and with warm regards,

Kashca Beaumont

These Principles of Practice are intended to aid the healing work of the Brennan Healing Science Practitioner
and to assist the public in selecting a healer with whom to create a rewarding healing relationship.


As a graduate of the the four-year Bachelor of Science Degree or Professional Studies Diploma programs
of the Barbara Brennan School of Healing (“BBSH”), the BHS Practitioner has completed an intensive study and
practice of personal transformation, energy awareness and high sense perception, hands-on healing techniques,
professional practice, creative arts, integrative care, and awareness of the connections between mind, body and
emotions.


The BHS Practitioner’s primary objective is to support each client in his or her unique healing journey with
competence, integrity, and compassion. The BHS Practitioner’s commitment is to create a safe, empathic, and
life- affirming container to best facilitate the client’s healing and transformational process. In the broader context
of community and world service, the BHS Practitioner applies his or her knowledge and training in support of the
evolution of the human spirit.


In any given client session, the BHS Practitioner may employ varied techniques and incorporate elements of
multiple modalities depending on the unique circumstances and needs of each client, and on the qualifications
and skills of the BHS Practitioner. No set of rules can fully anticipate or regulate the variety of situations that the
BHS Practitioner may face. The following Principles of Practice instead address important aspects of the BHS
Practitioner’s intentionality and consciousness that the BHS Practitioner honestly monitors and clarifies during
the course of the client relationship, both generally and in the moment.


INTENTION, INTEGRITY, AND PROFESSIONAL RESPONSIBILITY


1. The BHS Practitioner commits to use his or her training, skills, and intention in service of the health, welfare,
and spiritual healing of the client.
2. The BHS Practitioner provides those services commensurate with his or her training and competence, and
refers the client to other healers and care providers in other disciplines as appropriate and necessary.
3. The BHS Practitioner keeps current and competent in his or her field(s) of practice, through supervision,
consultations, and continuing education.
4. The BHS Practitioner does not offer, promise, or provide medical diagnoses or prescriptions (unless otherwise
licensed to do so), and does not promise medical cures or recoveries.


CLIENT COMMUNICATION AND PROFESSIONAL BOUNDARIES


5. The BHS Practitioner clearly, accurately, and truthfully communicates to the client, prior to commencement of
services, the general nature of the services that may be provided, fees and billing practices, and other policies
and procedures of the BHS Practitioner. The BHS Practitioner also obtains the client’s consent to these services,
or as appropriate the consent of the client’s legal guardian, prior to service.
6. The BHS Practitioner maintains professional boundaries with the client. The BHS Practitioner is sensitive to
real and ascribed differences in awareness and power between the BHS Practitioner and the client, and does not
exploit such differences or perceptions during or after the professional relationship for the personal gratification or
benefit of the BHS Practitioner. The BHS Practitioner supports the client in avoiding or resolving dependency on
the BHS Practitioner.
7. The BHS Practitioner does not suggest, initiate, or engage in any romantic or sexual activity with the client.
The BHS Practitioner does not engage in sexual or other harassment of the client, whether by sexual solicitation,
physical or energetic advances, or verbal or nonverbal conduct that is unwelcome, is offensive, or creates a
hostile or unsafe healing environment. The BHS Practitioner does not engage in sexual relations with a former
client for at least two years after termination of the client relationship, and only then after a good faith
determination through appropriate supervision that there is no exploitation of, or harm to, the former clients.
8. The BHS Practitioner avoids or promptly removes himself or herself from improper and potentially harmful
conflicts of interest and dual or multiple relationships with clients and former clients.


HONOURING THE CLIENT AND COMMUNITY


9. The BHS Practitioner respects the fundamental dignity, worth, and personal journey of all clients, regardless of
age, gender, race, ethnicity, national origin, religion, sexual orientation, disability, language, and socioeconomic
status. The BHS Practitioner strives to be aware of and sensitive to cultural, individual, and role differences.
10. The BHS Practitioner respects the right of each client to hold values, attitudes, beliefs, and opinions that differ
from the BHS Practitioner’s. The BHS Practitioner does not attempt to pressure or coerce the client into any
action or belief, even if the BHS Practitioner believes such act or belief would serve the best interests of the
client. The BHS Practitioner supports each client’s self-empowerment, self-determination, and transformational
processes in learning to make life choices, and understanding the consequences of those choices.
11. The BHS Practitioner is aware of his or her role in maintaining the integrity of healing and the healing
profession with regard to clients, to the society in which the BHS Practitioner lives, and to the global community
of the sacred human heart.


CLIENT CONFIDENTIALITY


12. The BHS Practitioner honors and does not disclose to anyone the client’s confidences or client records, if
any, including the name or identity of the client or identifying information, except: (a) if and to the extent
authorized by the client; (b) as required for the BHS Practitioner’s professional supervision where the client
remains anonymous, and only to the extent necessary to achieve the purposes of the supervision; (c) when
disclosure is required to prevent clear and imminent danger to the client or others; (d) as required by law; and (e)
if the BHS Practitioner is a defendant in a civil, criminal or disciplinary action arising from the client relationship (in
which case client confidences may only be disclosed in the course of that action).
13. At the client’s written request or approval, and according to the capabilities, good conscience, and
professional judgment of the BHS Practitioner, the BHS Practitioner may consult with the client’s other healers,
therapists, physicians, and spiritual teachers, as appropriate to maximize the benefits to the client.


BHS PRACTITIONER SELF-RESPONSIBILITY, CLIENT WELFARE, AND TERMINATION OF SERVICES


14. The BHS Practitioner commits to his or her own self-care and ongoing personal healing, and also recognizes
that this commitment is key to serving as an instrument of healing for the client.
15. The BHS Practitioner commits to regular individual supervision sessions with a qualified professional. The
BHS Practitioner is obligated to be alert to signs of, and to obtain professional assistance for, any unresolved
personal problems, countertransference, and emotional reactions, in order to prevent impairment of the client
relationship.
16. The BHS Practitioner is not under the influence of alcohol or of any medication, drug, or substance during a
client session that might impair the work of the BHS Practitioner or the client relationship.
17. The BHS Practitioner terminates a client relationship when it becomes reasonably clear that the client no
longer needs or is not benefiting from continued service. The BHS Practitioner terminates services if and as
advisable due to any physical or mental illness, or unresolved personal issues, of the BHS Practitioner. The BHS
Practitioner does not maintain a client relationship solely for financial reasons, but may terminate a relationship if
the client is unable or unwilling to pay for such services. Prior to any termination of service, if and to the extent
applicable and practicable, the BHS Practitioner gives reasonable notice to the client of the termination and
assists the client in finding alternative professional services.

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