I understand Johnlyn Broeder is not a licensed health care practitioner in the state of New Mexico and no client documents or records are retained by her.

I understand services and products offered by Johnlyn Broeder at RevealTheHeart.com are not intended as a substitute or replacement for licensed medical care and will seek medical advice from a qualified health care provider when I feel it is necessary.

I give Johnlyn Broeder permission to assist me in personal development work that may decrease stress and will not hold her responsible for emotional or physical changes I may experience. I may release trapped emotions such as sadness, guilt, shame, etc.

Except in the case of gross negligence, I or my representative(s) agree to fully release and hold harmless Johnlyn Broeder from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s).

Due to the nature of the sessions, either in person or being conducted electronically (ie. over the phone, Zoom, Google Hangouts, or any other electronic platform) it is not possible to guarantee the confidentiality of the information discussed during the session.

I am providing my electronic signature to certify I agree with all the statements above.

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