Sound Healing Intake Form
Please complete the following for the client receiving treatment. 
Email *
First Name *
Last Name *
Email Address *
Pronouns *
Date of Birth *
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Phone Number *
Have you ever received a Sound Healing session? *
Is this your first session with Monika? *
What type of healing session are you interested in? *
Required
Are you currently pregnant? *
Do you have any medical conditions that would prevent you from participating in Sound Healing Therapy? (e.g. heart conditions, pacemaker, seizures, epilepsy, or metal implants) *
If you answered yes to the above please provide details. *
Please read the below disclaimer and click "Yes" to be able to move forward with treatment. *

MEDICAL DISCLAIMER

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this website, program, or services through Monika the Mystik, LLC DBA Sol Rising Wellness is for general information purposes only. Monika the Mystik, LLC DBA Sol Rising Wellness makes no representation and assumes no responsibility for the accuracy of information contained on or available through their websites or programs, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this site with other sources, and review all information regarding any medical condition or treatment with your physician.

NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEBSITE OR PROGRAM.

Monika the Mystik, LLC DBA Sol Rising Wellness does not recommend, endorse or make any representation about the efficacy, appropriateness or suitability of any specific tests, products, procedures, treatments, services, opinions, health care providers or other information that may be contained on or available through this website.

Monika the Mystik, LLC DBA Sol Rising Wellness IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS WEBSITE.



DISCLAIMER

Last updated April 11, 2023


WEBSITE DISCLAIMER


The information provided by Monika the Mystik, LLC DBA Sol Rising Wellness ("we," "us," or "our") on www.solrisingwellness.com (the "Site") and our mobile application is for general informational purposes only. All information on the Site and our mobile application is provided in good faith, however we make no representation or warranty of any kind, express or implied, regarding the accuracy, adequacy, validity, reliability, availability, or completeness of any information on the Site or our mobile application. UNDER NO CIRCUMSTANCE SHALL WE HAVE ANY LIABILITY TO YOU FOR ANY LOSS OR DAMAGE OF ANY KIND INCURRED AS A RESULT OF THE USE OF THE SITE OR OUR MOBILE APPLICATION OR RELIANCE ON ANY INFORMATION PROVIDED ON THE SITE AND OUR MOBILE APPLICATION. YOUR USE OF THE SITE AND OUR MOBILE APPLICATION AND YOUR RELIANCE ON ANY INFORMATION ON THE SITE AND OUR MOBILE APPLICATION IS SOLELY AT YOUR OWN RISK.

EXTERNAL LINKS DISCLAIMER

The Site and our mobile application may contain (or you may be sent through the Site or our mobile application) links to other websites or content belonging to or originating from third parties or links to websites and features in banners or other advertising. Such external links are not investigated, monitored, or checked for accuracy, adequacy, validity, reliability, availability, or completeness by us. WE DO NOT WARRANT, ENDORSE, GUARANTEE, OR ASSUME RESPONSIBILITY FOR THE ACCURACY OR RELIABILITY OF ANY INFORMATION OFFERED BY THIRD-PARTY WEBSITES LINKED THROUGH THE SITE OR ANY WEBSITE OR FEATURE LINKED IN ANY BANNER OR OTHER ADVERTISING. WE WILL NOT BE A PARTY TO OR IN ANY WAY BE RESPONSIBLE FOR MONITORING ANY TRANSACTION BETWEEN YOU AND THIRD-PARTY PROVIDERS OF PRODUCTS OR SERVICES.


SOUND HEALING DISCLAIMER

Monika the Mystik, LLC DBA Sol Rising Wellness (sound healing/sound therapy) is not a substitute for medical advice, diagnosis or treatment from a physician or health care professional. Monika the Mystik, LLC DBA Sol Rising Wellness is designed to enhance your total wellness, and should be used in conjunction with your traditional medical care. Please check with your doctor or health care professional about using sound healing to complement your medical treatment (if any).

Monika the Mystik, LLC DBA Sol Rising Wellness has reviewed all sources of information (books, videos, classes, website links, etc.) that we may recommend to you. We believe that with more information comes the ability to make better decisions for yourself, and your self-care. However, we are all unique. Nothing is universal – there is no treatment, medication, or holistic practice that works the same, that provides the same results, for everybody. What is effective for me, may, or may not be for you. We urge you to practice discernment.

Monika the Mystik, LLC DBA Sol Rising Wellness frequently receives testimonials from our program participants. Some of these appear on our website. As we are all unique, their experiences are unique to them. You may or may not realize the same results, as yours will be unique to you.

Important!
Do NOT discontinue or suspend medical treatment without the consent of your doctor or health care professional!


TESTIMONIALS DISCLAIMER


The Site may contain testimonials by users of our products and/or services. These testimonials reflect the real-life experiences and opinions of such users. However, the experiences are personal to those particular users, and may not necessarily be representative of all users of our products and/or services. We do not claim, and you should not assume, that all users will have the same experiences. YOUR INDIVIDUAL RESULTS MAY VARY.

The testimonials on the Site are submitted in various forms such as text, audio and/or video, and are reviewed by us before being posted. They appear on the Site verbatim as given by the users, except for the correction of grammar or typing errors. Some testimonials may have been shortened for the sake of brevity where the full testimonial contained extraneous information not relevant to the general public.

The views and opinions contained in the testimonials belong solely to the individual user and do not reflect our views and opinions. We are not affiliated with users who provide testimonials, and users are not paid or otherwise compensated for their testimonials.

The testimonials on the Site are not intended, nor should they be construed, as claims that our products and/or services can be used to diagnose, treat, mitigate, cure, prevent, or otherwise be used for any disease or medical condition. No testimonials have been clinically proven or evaluated.

Please read the cancellation terms below and click "Yes" to be able to move forward with treatment.

If your appointment is canceled between the start of the session up to 72 hours prior to your appointment, a cancellation fee of 40% will be applied to the card that was reserved for the original appointment.

*If you cancel 12 hours or less before your session or no show, the full amount of your session will be applied to the card that was reserved for the original appointment*

We ask that you please reschedule or cancel at least 72 hours before the beginning of your appointment. If you have questions, please email Monika at solrisingwellness@gmail.com.
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