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.Energy Field Therapy practiced by Lorenzo Cree, a gifted subtle-energy healer practicing in studios and at-distance worldwide

Page 5.   .Client-Signature Form

The form below is to be check-marked and signed by the client or other person who is ordering the therapy sessions or services.

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CLIENT’S —or third-party requester’s—
Request for Services

I, (name:)______________________________________request that: Mr. Lorenzo Cree practice his energy-field therapy
(check one:)  �-upon myself /�-upon (recipient):

_____________________________________________________
for one or more of the purposes listed in the first paragraph of his flier Energy-Field Therapy practiced by Lorenzo Cree, or the (duplicating) web page, at page 1—Cree’s Therapy.

(Check one:) �-I have/ �-I have not read the flier’s contents.
(Check if appropriate:) �-I have no question about material in the flier/
(check one:) �-I have/�-I have not discussed with Mr. Cree all questions which I have had about the statements his flier.

I understand thaT: Regardless of any past client healings or healing testimonials mentioned by Mr. Cree, his emphasis, as described in the flier, is on providing support rather than on rendering “miracle cures”. Any cure may or may not take place subsequent to therapy sessions, as per Divine Order. Mr. Cree believes his work supports healing.

Lorenzo Cree’s Disclosure

I understand that:  Mr. Cree practices a therapy that is performed upon the theoretical subtle-energy field surrounding and pervading the client’s body. He often uses prayer and visualization. He developed the techniques of this therapy. This development has been a learning-by-doing over the years—rather than the result of formalized education. Mr. Cree feels it has also been a developing of his natural talents/gifts.

Lorenzo Cree’s DisclAIMER

I understand that:  Mr. Cree’s energy-field therapy is not intended as diagnosis, prescription, treatment or cure for any disease, disorder, or injury, mental or physical (as Mr. Cree focuses on the client as a whole, rather than targeting any disease, disorder, or injury) and is not intended as a substitute for regular medical care. If a client is suffering any physical or mental discomfort or dysfunction, Mr. Cree will agree to provide therapy only if the client or recipient (or caretaker, parent, or guardian with medical power of attorney) agrees to be certain the client/recipient maintains his/her relationship(s) with (licensed and/or certified) medical physicians, health-care practitioners, counselors, and/or psychotherapists.  Otherwise, Mr. Cree will discontinue therapy.

I understand that:  Mr. Cree does not practice any form of diagnosis.  (He considers diagnosis an expression of reductionist-science appropriate to other healing arts such as medicine, acupuncture, clinical psychology, etc. In his therapy, he emphasizes other fields such as wholeness science and ideas from chaos/complexity/organismic theory.)  The goal of his therapy is to provide support for:  (1) healing and recovery from grave illness, injury, and disorder; (2) stress-response reduction, mental-emotional stability, and mindfulness / centered-ness; (3) renewal of well being, self-actualization, and spiritual upliftment; (4) comfort and resilience during stressful and taxing medical procedures; and (5) relief of suffering and anxiousness for clients with chronic disorders and/or terminal prognoses. .

Client’s Information Release

I request that: Mr. Cree make reports about therapy sessions’ progress to the following health-care professional
(check one:) �-who referred me to Mr. Cree /�-whom I’ve asked, or will ask, to request such progress reports from Mr. Cree:

_____________________________________________________,
(mark “N/A” if not applicable) 

and/or to the following other party(ies):

_____________________________________________________,
(mark “N/A” if not applicable) 
(Otherwise, Mr. Cree shall hold all client-therapist and session-related information in confidence, to the full extent legally allowed.)

signed(x): _____________________________________________

date: ________/______/______                  

OPTIONS for obtaining a copy to sign (choose one):

1. RECOMMENDED: For a printer-friendly version, click here to get an Adobe "pdf" copy. (If your computer doesn’t already have the small, safe, free Adobe Acrobat™ Reader software, you will be prompted to download it.)

2. A paper version of the above form is available to be mailed to you via “snail mail” at your request.

3. Alternatively, copy-and-paste the document into a new Microsoft Word document of your creation. Then, send the new Word document as an attachment in an e-mail letter from your own (self-identifying) e-address to Cree’s office. State in the e-letter which blanks were intend as “checked”, and state that a signature is intended.

© 2000-2003 Lorenzo Cree - ALL RIGHTS RESERVED.

And these signs shall follow them that believe; In my name…
they shall lay hands on the sick, and they shall recover.

— Updated March 31, 2003 —

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<< Table Of Contents (if not seen at left)    1.Cree's.Therapy   2.Distant.Healing   3.Client.Feedback   4.Fees.&.Policies   5.Client.Signature   6.How.to.Contact   7.How.to.Support