Patient Forms

Introductory Session Intake Form

Today’s session is an opportunity for you to experience the benefits of Energy Medicine Healing.  Your session may include one of more of the following modalities:  Healing Touch, Aromatherapy, Sound Therapy, Colorpuncture, Mayan Light Language, Flower Essences, or Crystal therapy.

By filling out & electronically signing the below form, you certify that you have read & understood the following statements:

I understand that Energy Medicine healing (EMH) is a gentle, complementary energy-based approach to health and healing that can assist my body in its natural ability to heal.  I acknowledge and understand that this is accomplished using contact and/or non-contact touch. I understand that EMH is a complementary therapy not intended to replace any currently prescribed medical treatments as ordered by my physicians or other medical/holistic care. 

I understand that Shari Sternberger is a certified Healing Touch Practitioner (People and Animals), Clinical Aroma therapist, Acutonics Sound Practitioner, Colorpuncturist, Mayan Light Language Practitioner and Certified Crystal Healer. As a practitioner she will neither diagnose nor prescribe for any condition that I might have, nor does she make specific claims regarding the results from the EMH sessions that I receive. During today’s experience, I may experience different sensations in my body, which can bring up emotions and physical issues that I currently have.  It is important that I share this information with Shari, so that she can assist my body with this new experience.  After the session I may continue to experience other effects on the mind, body, and spirit.

Listed below are some beneficial outcomes of Energy Medicine Healing:

  • Reduction in discomfort in your body

  • Stress reduction – quieter mind

  • Supports the body’s natural process and well being and boost the immune system

  • Feeling recharged