Client Profile Information

At Jewell of Consciousness, we do not practice medicine, nor do we prescribe drugs or related treatment. MACE Energy Method (MEM) is a unique and separate profession as are counseling and psychotherapy. MEM is not intended to be a replacement for medical care. It is offered as a non-medical, non-chemical, non-invasive alternative to promote change, health and wellness.

Note: Those under the care of a physician should not ignore their Physicians advice for medical problems. Consult with your physician before making any changes in your prescribed treatment.

MACE Energy Method (MEM)

The success of this process depends on your participation and willingness to create change. MEM cannot make you do anything that you do not truly desire to do, however, wonderful changes can happen if you truly desire them.

There are times where additional sessions may be effective in achieving your goals and this choice will be yours.

All client information, records, materials are kept in confidence.

Billing, Cancellations, Miscellaneous

Payment is due 3 days prior to services rendered. Preferred payment is PayPal. We do not bill insurance companies for services.

Except for extreme emergencies, cancellations or appointment changes must be made at least 48 hours in advance for general MEM sessions. In signing this form, you agree to pay for any missed appointments if the 48-hour notice (business hours) is not given and your appointment time cannot be filled.

Jewell of Consciousness reserves the right to refuse treatment to anyone at any time. Anyone under the influence of drugs or alcohol at the time of their scheduled session will be charged the full amount and the session will be immediately ended.

I have read and understand the above information. I agree to hold harmless and for myself, my heirs or assignees. Caitlyn Rae, Jewell of Consciousness and any associates, including but not limited to landlords or hosts for any reason as a result of my participation in the program/session(s). Any relevant medical problems have been disclosed.