Patient Forms
Introductory Chakra Connection Intake Form
Today’s session is an opportunity for you to experience the benefits of Energy Medicine Healing. Your 30-minute session will be about learning how to do the Chakra Connection and the benefits of this daily practice.
Energy Medicine Healing (EMH) is a gentle, complementary energy-based approach to health & healing that can assist your body in its natural ability to heal. By signing & submitting this form, you certify that you understand that EMH is a complementary therapy not intended to replace any currently prescribed medical treatments as ordered by your physicians or other medical/holistic care you are currently receiving.
Shari Sternberger is a certified Healing Touch Practitioner (people & animals), Clinical Aromatherapist, Acutonics Sound Practitioner, Colorpuncturist, Mayan Light Language Practitioner, and Certified Crystal Healer. By signing & submitting this form, you certify that you understand, as a practitioner, Shari will neither diagnose nor prescribe for any condition that you might have, and that she does she make specific claims regarding the results from the EMH sessions that you receive.
Listed below are some beneficial outcomes of incorporating the Chakra Connection into your daily routine:
Relieves stress & tension within the body & promotes a quieter mind.
Bring the body back into Homeostasis & helps boost the immune system.
Supports your Endocrine system (e.g. adrenals & hypothalamus).
Supports your Creative Expression & Intuition.
Enhances your Mind/Body/Spirit Connection.