David Oros

Disclosure Statement

California Required Disclosure Statement

Reiki Master, David Oros

Teacher and Healer

Phone: (909) 301-3689 doros1998@verizon.net

California Required Disclosure Statement

I, David Oros, am an alternative healing arts practitioner.

Disclosure:

I am not a California-licensed physician, psychologist, psychotherapist, or licensed mental health practitioner.
The services I provide are alternative and/or complementary to healing arts services
The State of California does not license, certify, or otherwise approve the services I provide, nor does it require these services to be licensed or approved.
California law requires that I disclose the nature of the services I provide, the theory upon which those services are based, and my education, training, experience, and qualifications related to providing those services.

Qualifications:

My qualifications include training in Reiki Levels I and II, as well as Master Levels III and IV.

I successfully completed all required coursework, received attunements for all four levels, and learned the associated healing techniques at The Healing Shop, a learning center located in Upland, California.

I have been providing in-person and distance energy healing services since 2014 throughout the Inland Empire region.

My practice draws upon principles of Japanese Reiki healing, Christian Faith, and other energy-based healing modalities.

Client Acknowledgment:

By signing below, I acknowledge and understand that:

I have read and understood this disclosure statement and voluntarily choose to receive services from David Oros.
The services provided are not intended to diagnose, treat, cure, or prevent any medical or psychological condition and are not a substitute for professional medical advice, diagnosis, or treatment.
I understand that I should consult with a licensed physician or other qualified healthcare professional regarding any medical condition, symptoms, or treatment decisions.
I understand that nothing contained in this disclosure, nor any service provided by David Oros, is intended to be used for medical diagnosis or treatment.
I have received a copy of this disclosure form for my records.

Client Name: ______________________________________

Signature: _________________________________________

Date: _____________________________________________