Hola Amor Company
Consent Form
Last Updated: August 2026
Consent Form for working with Dani Palacio at Hola Amor Company, LLC
I understand that Reiki & Alchemy Sessions use a natural method of energy balancing for stress reduction and relaxation. I understand very clearly that Reiki & Alchemy Sessions are not a substitute for medical or psychological diagnosis and treatment. I also understand that it is not massage therapy. I understand that Reiki & Alchemy practitioners do not diagnose conditions, prescribe substances or interfere with treatment provided by a licensed medical professional. It is recommended that I see a licensed health care professional for any physical or psychological ailment I have.
The purpose of this Consent is to explain what I can do for you and what you can expect. My belief about healing is that each of us is her or his own healer; that healing comes primarily from within. I can support your healing through various modalities that balance and enhance your sense of well-being. Among the techniques that I use are Reiki and Daoist Alchemy Treatments and Points (healing by laying on of the hands, but not necessarily limited to this), Energy Kinesiology, Tapping techniques such as EFT (Emotional Freedom Technique) and energy work done with both of my hands on the body and also throughout the Human Energy Field, which surrounds the body.
At times, I may also use Creative Visualization to support your healing process. We will discuss the major stresses of your life, your belief system, health history, your childhood and any other issues that have an influence on your emotional and physical well-being. These discussions will be kept confidential. I may recommend dietary or lifestyle changes that you may implement. if you choose. I can tell you where energy is blocked in your body and help you release those blocks. I am not a physician or a psychotherapist. Therefore, I do not diagnose or prescribe drugs.
Your healing is always your responsibility. I am available to be your partner in this process-- your committed listener and your mirror. I cannot advise you to discontinue any medical treatment or psychotherapy you may be receiving. My work is intended to be in harmony with any other healing work you may undertake, including Conventional Medicine.
Please feel free to discuss our work with your doctor or therapist. I prefer to set up a schedule to work with you, but you are never obligated to do so or to continue any of my healing techniques/modalities. I would appreciate as much notice as possible if you must reschedule an appointment with me; with less than 24-hour notice, half of the fee will be charged for any missed session.
In signing the attached “Acknowledgment and Release”, you agree that I may work with you in the above-described manner. I make no promises other than those outlined above. Most of my clients experience increased well-being and improvement in their condition(s), some have experienced complete healing. But I cannot promise/ guarantee these things. Also, I’m not aware of any risks or negative side effects associated with these techniques/modalities.
You may download the consent form and the "Acknowledgment and Release" form by clicking HERE. I will have a printed Acknowledgment form for you to sign for in-person sessions; for remote sessions, I will send you the PDF for you to electronically sign.