Informed Consent Agreement

Part 1 — My Qualifications

I understand LeeYen Anderson is a Licensed Spiritual Healer (LSH) certified by the Federation of Spiritual Healer License Boards, and an Ordained Minister trained through Soul Awakenings, qualified to offer spiritual guidance and facilitation within the scope of those credentials.

I also understand LeeYen is a Certified Wayfinder Life Coach (Martha Beck, PhD) and a Lineage Holder and Shifu Master Teacher of Spiritual, Medical, and Martial Qi Gong through Dragon Gate Sanctuary, trained to teach, coach, and empower clients in self-discovery and holistic wellness practices.

I further understand LeeYen is a Certified Aromatherapy Coach and Raindrop Technique Specialist with the Natural Therapies Board, a Certified Nutrition Consultant, and a PhD Student in Depth Psychology at Pacifica Graduate Institute, and that these qualifications support but do not replace a licensed medical or mental health provider.

Part 2 — What a Soul Coherence Guidance Session Is

I understand LeeYen is qualified to coach, teach, demonstrate, educate, empower, and mentor me in spiritual practices, self-inquiry tools, and holistic wellness approaches — including Qi Gong, aromatherapy, and coaching techniques — so that I may make my own informed decisions about my health, healing, and wellbeing.

I understand LeeYen may also offer energy, spiritual, or distance healing modalities within the scope of her healing techniques, with my voluntary consent. I understand that in these practices, the client heals themselves — LeeYen serves as a facilitator of energy and spiritual process, not the source of any healing.

I hereby request and consent to the techniques of energy, spiritual, or distance healing modalities within the scope of LeeYen Anderson's healing practices.

Part 3 — My Responsibility for My Own Healing

I understand that I am responsible for my own health, healing, and wellbeing. I understand I have the capacity to heal myself, and that LeeYen's role is to support and empower that process — not to heal or cure me.

I understand that Soul Coherence Guidance Sessions are not a substitute for adequate medical or mental health care. I intend to remain under the care of my primary healthcare provider for any medical or psychological concerns.

I understand it is my responsibility to advise LeeYen of anything that might help us work together more effectively, and to communicate any concerns that arise during or after our sessions.

Part 4 — Contraindications and Side Effects

I understand that if LeeYen uses any products or equipment that may be contraindicated for any reason, I will be given a written list of those contraindications before I agree to receive that product or service.

I understand that certain processes — including breathwork, emotional release, energy work, and aromatherapy — may bring up strong emotions or temporary physical sensations as part of my healing journey. I understand I will be informed of any known adverse side effects specific to any product or technique before I engage with it.

Part 5 — Confidentiality

I understand LeeYen will keep all information she learns about me in the strictest confidence, except when I release her from this obligation in writing, or when disclosure is specifically required by law — including but not limited to situations involving child or spousal abuse, threats of violence, or threats of self-harm.

I understand LeeYen will not acknowledge my presence or discuss our work publicly unless I initiate the conversation. I have the right to waive this confidentiality agreement in whole or in part at any time.

Part 6 — Referral Statement

I understand that if I have — or if I think I have — a medical concern, condition, disease, disorder, issue, or symptoms, LeeYen will help me reduce any related stress and refer me to a licensed chiropractic, medical, or osteopathic physician for further assistance.

I also understand that if I have — or if I think I have — a psychological or emotional concern, condition, disease, disorder, issue, or symptoms, LeeYen will help me reduce any related stress and refer me to a licensed counselor, psychologist, or psychiatrist for further assistance.

Part 7 — Acknowledgement of Understanding

I acknowledge that I have read and understand this form. I am a competent adult entering into this agreement of my own free will. I agree to allow LeeYen Anderson to coach, guide, and support me in learning to heal myself using the spiritual, energetic, and holistic wellness techniques described herein.