Heart to Heart Healing
Menu
About
Services
Physical Ailments
Emotional Ailments
Wellness Maintenance
Continuing Ed
SuperBrain Yoga
Relationship Healing
Energy Feng Shui
Classes
Intro Classes
Level I Class
Level 2 Class
Events
Videos
Blog
Appointments
New Client Page
Meditations
Links
Contact
« All Events
Energy Healing for Horses : In Person Session@ TCTC
May 31 @ 10:00 am
-
4:00 pm
$150
«
Basic Pranic Healing – Level I in Sequim, WA
Basic Pranic Healing – Level I in Portland, OR
»
Instagram
This field is for validation purposes and should be left unchanged.
Your Name
*
First
Last
This appointment is for:
*
My horse
My dog
Name of Pet
*
Name
Age
M/F
Breed
Your Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Country
Your Phone
*
Your Email
*
Enter Email
Confirm Email
Your Occupation
(if retired, please state what you are retired from)
Who can we thank for the referral?
*
(how did you hear about my services?)
Current condition and/or symptoms of the subject of this session:
*
Please rate each symptom on a scale of 1-10, with 10 being the worst.
Medical History of subject of session
Please list on a separate line all current diagnosis, current prescriptions or treatments for each.
This field is hidden when viewing the form
Any other pertinent medical history, including surgeries, implants, etc.
Upload a photo of whoever is the subject of the session
*
Max. file size: 2 GB.
Please check if any of the following apply to the subject of the session:
*
I understand that if any of these answers change during the course of our sessions, I will update you immediately.
Currently pregnant (or any chance might be)
Psychological Illness
Current or prior cancer diagnosis
None of the above
Please share information about any significant trauma experiences for your horse/dog.
*
Anything else about this situation that you think is important:
*
STATEMENT OF RISKS, ASSUMPTION OF RISKS AND RELEASE:
*
I, THE UNDERSIGNED FOR MYSELF OR ON BEHALF OF ANY MINOR INDICATED BY ME BELOW, AGREE TO THE FOLLOWING: I understand that Energy Healing / Pranic Healing® practitioners are not licensed physicians or surgeons, and Pranic Healing® treatments are not licensed by the state but are complementary to healing arts services licensed by the state. That Energy Healing / Pranic Healing® practitioners do not physically touch the recipient’s body, diagnose diseases, prescribe any drugs/substances or make any health claims or guarantee any outcomes. That although this is a healing modality, and the goal is to improve my health, I understand that unexpected or unanticipated results may occur. That Energy Healing / Pranic Healing® is not meant to replace conventional medicine but rather to complement and enhance it. If symptoms persist, I agree to consult a medical professional. I agree to provide updated and current information in the event any the status of any of the conditions (listed above) changes. I understand that I am responsible for my own safety. I expressly accept all risks associated with this activity and voluntarily assume full responsibility for all the consequences of my choosing to engage in Energy Healing / Pranic Healing®. I hold Heart to Heart Healing, LLC and Liza Burney harmless for any death, injury, damage, or loss which I (or any minor on whose behalf I sign this contract) might suffer as a result of participation in this process, including any injuries or damages which result from another's negligence or fault. I have read and accept the terms of this liability disclaimer agreement.
Initial Session 1.0 hours
Price:
I prefer to pay
*
with a check
with credit card through Paypal (I will initiate)
Total
$0.00
Δ
Add to calendar
Google Calendar
iCalendar
Outlook 365
Outlook Live
Details
Date:
May 31
Time:
10:00 am - 4:00 pm
Cost:
$150
Event Category:
Registration forms
Venue
Trillium Creek Training & Rehabilitation
Wilsonville
,
OR