Please Read/Accept Terms and Conditions:
1. I understand that The Emotion Code, as well as the Body Code System, as taught by Dr. Bradley Nelson,
(hereinafter called “these methods”), and as practiced by the practitioner listed below, seek to identify and eliminate underlying imbalances by releasing energetic imbalances in the areas of energy, circuitry, pathogens, structure, toxicity, and nutrition. These methods of energy healing promote harmony and balance within, relieving stress and supporting the bodyʼs natural ability to heal. Energy healing such as these methods is widely recognized as a valuable and effective complement to conventional medical care.
2. I understand that releasing trapped emotions, or the correction of any other energetic imbalance using these methods as practiced by the practitioner listed below, is not a substitute for medical care. This information is not
intended as medical advice and should not be used for medical diagnosis or treatment. Information received is not intended to create any physician-patient relationship, nor should it be considered a replacement for consultation with a healthcare provider, nor is it meant to replace any medical treatments as ordered by any physicians nor any other medical care you have been advised to seek by them. I further understand that these methods are not a replacement for any professional psycho-therapeutic or counseling sessions in the treatment of any mental health issues or disorders.
3. I understand that if my practitioner makes any suggestions regarding supplementation of any kind, such as
vitamins, minerals, herbal preparations, or any compounds or any other external remedy of any kind, that I use or ingest any such at my own risk, with the recommendation that I seek the advice of a physician before using any remedy suggested by my practitioner.
4. I understand that in approximately 20% of sessions, the release of trapped emotion(s) or other energy(s) may result in “processing,” where echoes of the emotion(s) or other energy(s) released may manifest in temporary
physical or emotional discomfort, and that this “processing” appears to be a normal part of regaining energetic
5. I understand that my practitioner makes no claims as to healing or recovery from any illness I may have now, nor the prevention of any illness I may have in the future and that no guarantee is made towards validity. I further understand that the use of any information I receive is at my own risk.
6. I understand that if I have health concerns, I am recommended to seek advice from an appropriate medical
practitioner before making any decisions about my health, or taking any supplements the body identifies and that this information is offered as a service and is not meant to replace any medical treatment.
7. I understand that these sessions are confidential, and that any personal information would be used anonymously for educational and research purposes only, subject to any exceptions governed by laws of the province of residence of my practitioner listed below, or of Federal laws and regulations, and that identifying personal information such as my last name and city will be deleted to maintain my privacy unless required by law.
8. I understand that I am advised to be self-informed about this work by reading his book The Emotion Code and/or visiting Dr. Bradley Nelson's website:
9. I understand that I am responsible to pay for the service via e-transfer to info@HiViibe.com Once an appointment has been booked and completed, I understand there are no refunds for this service.
10. I understand that my client report will be emailed to be with 24 hours of the session taking place.
11. I understand that the HiViibe practitioner, has the right to refuse this request if muscle testing is not viable on a client, or if muscle testing suggests that Emotion Code will not be a good fit for this client/practitioner relationship.
12. I understand that by signing this form, I fully consent to participate in a session with a HiVibbe practitioner.
13. Governing Law and Jurisdiction
These Terms and any dispute or claim arising out of or in connection with their subject
matter or formation, including non-contractual disputes or claims, shall be governed by
and construed in accordance with the laws of the Province of Alberta and the
laws of Canada applicable therein. You agree that the courts of the Province of Alberta shall have exclusive jurisdiction to settle any dispute or claim arising out of or in connection with the subject matter or formation, including non-contractual disputes or claims, of these Terms.
IN CONSIDERATION of the acceptance of my registration to participate in receiving Emotion Code / Body Code energy healing, I, for myself, my heirs, executors, administrators, successors and assigns HEREBY RELEASE,
WAIVE AND FOREVER DISCHARGE HiViibe Inc. and its agents, officers, directors, successors and other associations, sanctioning bodies and sponsoring bodies and companies, and all their respective agents, officials, servants, contractors, representatives, elected appointed officials, successors and assigns OF AND FROM ALL claims, demands, damages, costs, expenses, actions and causes of action, whether in law or equity, in respect of death, injury, loss or damage to my person or property HOWSOEVER CAUSED, arising or to
arise by reason of my participation in the said Emotion Code / Body Code session, whether as a spectator, participant, or otherwise; whether prior to, during or subsequent of the session AND NOT
WITHSTANDING same may have been contributed or occasioned by the negligence of any of
the aforesaid. I FURTHER HEREBY UNDERTAKE to HOLD AND SAVE HARMLESS and
AGREE TO INDEMNIFY all of the aforesaid from and against any and all liability incurred by
any or all of them arising as a result of, or in any way connected with my participation. BY
SUBMITTING this WAIVER RELEASE, I ACKNOWLEDGE HAVING READ, UNDERSTOOD
and AGREED to the above WAIVER RELEASE and INDEMNITY. I WARRANT that I am
physically fit to participate and I ACKNOWLEDGE that my participation in this energy healing session is my choice. I UNDERSTAND that this activity is fully funded by the participants and
conducted once payment and intake form is received. AS SUCH MY PARTICIPATION IS NOT REQUIRED or necessary in the session. Once the session has been paid for and intake form received, I understand it will be completed by a HiVibbe practitioner and report emailed to me if I am choose not to participate in a Zoom session.