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Private Sessions Client Form ~ Om Side of Things, LLC
Do you feel you would benefit from a sacred medley of Reiki, Sound Healing, Yoga, and Journaling to empower healing and connection? 

I hold space for you to journey inward with tenderness. Root your intention to heal and connect in the ways you wish. Receive intuitive guidance. Radiate your light. Embody deep relaxation. Relish the resonance of what emerges for you.

Reiki is a Japanese healing tradition that addresses dormant or blocked energy and enhances energetic alignment in mind, body, and spirit for all living things. Reiki means spiritual or universal energy. Reiki is not a religion, it is the life force energy of science and spirit. It is your light! Reiki is the innate nourishing flow of energy which can neither be created nor destroyed, but rather shifts, transforms, and responds with tenderness to the root cause of an issue such as physical pain, anxiety, disconnection from spirit, or karmic imbalances. Reiki is gentle and impactful as it amplifies your ability to self-heal. My Reiki sessions embed breathwork, meditation, visualization, intention, symbols, chants, mantras, chakra and aura alignment, connection with spirit guides, and the simultaneous “release and receive” energy that is most beneficial for you. A Reiki Practitioner or Master Teacher who has studied Reiki lineage and received attunements sits quietly in a designated space, applies light hands-on touch and/or hovers hands in the client's aura. A practitioner does not "give" Reiki, but is a portal through which the Reiki is channeled and flows between one's Higher Self and a client's Higher Self. Because Reiki is source energy and can be accessed through timelessness and spacelessness, it flows in past, present, and future and through long-distance frequency. In-person and virtual sessions are equally beneficial. Some "healing responses" that occur within all systems of our multidimensional self may be calm, relaxation, deep sleep, tingling and buzzing, hot and cold sensations, visions, insights, detoxification, enhanced senses and awareness, communication with spirit guides, and eased physical pain and emotional overwhelm. Healing responses such as clarity, manifestations, and miracles may occur in the moment, shortly after and/or well after a session. Everyone's experience with Reiki is different. Healing on a source level always occurs at its own pace and in its own way. Reiki beautifully aligns with and complements all medical and holistic practices.

Sound Healing includes the harmonizing vibrations of sound. I embed chakra-aligning singing bowls and chimes, flutes, light rattles and drums, Solfeggio tuning forks, and voice.

Yoga invites us to move gently and mindfully, to honor the flow of energy inside and around us, and to fully embody our true nature. I embed gentle yoga that can be practiced on a yoga mat or in a chair.

Journaling is a guided storytelling and writing process. I embed compassionate conversation, "imPROMPTu" prompts, intuition, intention, muse embodiment, and the power of wordplay for empowering healing and connection.

I look forward to reading your responses on the form below and to connecting with you. :)

Love, 
:) Jessica Amber Barnum (Jess)
Teacher & Author
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Client's Name *
Client's Email Address *
Client's Phone Number *
Describe your goals and wishes so I can prepare for our first session together.  *
List any health concerns or recent surgeries you feel I ought to be aware of.  *
In what way would you prefer to meet? *
Required
List here a few ideal dates/times you are available to schedule your first session.  *
What is your preferred method of payment?  *
Required

This Private Sessions Client Agreement is being made between myself, Jessica Amber Barnum, on behalf of Om Side of Things, LLC, and you, the participant.

I offer private sessions that include Reiki, Sound Healing, Yoga, and Journaling.

Meet in-person (your residence, an outdoor setting, or a reserved space) or virtually (FaceTime, Google Meet or Zoom).

60-minute in-person and virtual sessions ~ $125

5-pack ~ $550

Payment options: Cash, Check, or Venmo 

A small travel fee may apply for locations beyond Carbondale and Basalt.

Please be on time for your sessions.

There is a no refund policy for Private Sessions offered by Om Side of Things, LLC. In the event that you are unable to attend a session due to illness or other circumstances, you can apply the fee as a credit toward a future session. If I (Jess) must cancel for reasons such as illness or other circumstances, refunds will be granted.

Consent & Release for Private Sessions Clients. I have read, understand, agree to and accept this statement from Om Side of Things, LLC: The information I share verbally or in written form is for educational and informational purposes only and is solely to be considered and used at your discretion. I am not providing medical, psychological, spiritual, philosophical, or nutrition advice as a diagnosis or clinical recommendation. Insights I may share in Energy Healing sessions are for you to discern if they resonate with you or not, and for you to determine what action steps based on those insights you independently decide to implement in life or not. You should not use this information to diagnose or treat any health problems or illnesses without consulting your own medical practitioner. Always seek the advice of your own medical practitioner and/or mental health provider about any specific health situations. 

I voluntarily consent to my participation in Private Sessions organized by Om Side of Things, LLC. I waive and release Om Side of Things, LLC from any and all liability, damages, causes of action, allegations, suits, sums of money, claims and demands whatsoever, in law or equity, which I have ever had, now have or may claim to have in the future against Om Side of Things, LLC arising from my past or future participation in, or otherwise with respect to, anything related to and including the Private Sessions. In no event will Om Side of Things, LLC be liable to me, or to any person for any direct, indirect, special, incidental or consequential damages for any use of, non-use, or reliance on the Private Sessions, its information, programs and/or services, including, without limitation, personal injuries, accidents, misapplication of information, or any other loss, malady, disease, difficulty, injury, or otherwise, to myself even if I am advised of the possibility of such damages, difficulties, or injuries, whether caused by the fault of myself, Om Side of Things, LLC, other attendees, or other third parties. I agree to pay for all damages to the facilities caused by any negligent, reckless, or willful action that I may take. 

FOR PARENTS OF MINOR CHILDREN (17 and under). I understand that as a parent or legal guardian, I am required to participate in the Private Sessions with my minor child. If the interest and situation arises, I will give permission to and will communicate with Om Side of Things, LLC specific dates and times when my minor child can attend Private Sessions independently.  I understand that I am encouraged and urged to discuss any questions or concerns that I have about issues of confidentiality with Jessica Amber Barnum and my minor child.

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What other details would you like me to know?  What questions do you have? 

Thank you for completing this form. I look forward to connecting with you! :) 
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