You are on page 1of 1

Pranic Healing Client Form

Healer Name: ____________________________

Disclosure in Compliance with new


California State Law
Bill Number SB 577: Act to add to Sections 2053.5 and 2053.6 of the
Business and Professions Code, relating to health.

"I understand that the Pranic Healing Practitioner from whom I seek services is
not a licensed physician or surgeon and that Pranic Healing treatments are not
licensed by the state but are complementary to healing arts services licensed by
the state. I understand that Pranic Healing is a highly developed system of
energy based healing techniques that utilizes "prana" to balance, harmonize and
transform the body's energy processes by cleansing, energizing and balancing
the body's bio-electromagnetic field, or aura."

___________________________________ ________________________
Name Date

------------------------------------------------------------------------------------------------------------
Client Copy of Pranic Healing Client Form

Healer Name: ____________________________

Disclosure in Compliance with New California State Law


Bill Number SB 577: Act to add to Sections 2053.5 and 2053.6 of the Business and Professions
Code, relating to health.

"I understand that the Pranic Healing Practitioner from whom I seek services is
not a licensed physician or surgeon and that Pranic Healing treatments are not
licensed by the state but are complementary to healing arts services licensed by
the state. I understand that Pranic Healing is a highly developed system of
energy based healing techniques that utilizes "prana" to balance, harmonize and
transform the body's energy processes by cleansing, energizing and balancing
the body's bio-electromagnetic field, or aura."

You might also like