Ascension Living

Release Form

First Name

Last Name

Phone *

Email *

Please Read And Check The Following

I consent to participate in the process of Hypnotherapy/Coaching/Energy Healing with Meghan Raza.I understand that hypnotherapy can involve the use of techniques such as progressive relaxation, meditation, guided imagery, and other helpful methods. As a part of hypnotherapy, clients are encouraged to recall events, circumstances, behaviours, thoughts, and feelings from situations in their life experiences.

I understand that clients vary in their response to the relaxation and hypnotic process, with some having powerful experiences and others experiencing relatively little. Additionally, I am aware that the experiences during hypnotherapy or reiki may be a combination of real and/or of active imagination. I also understand that certain memories or experiences may invoke emotional reactions. These emotionally charged experiences can be useful for facilitating insight and understanding.

I understand that there is no implied or stated guarantee of success or effectivenessof hypnotherapy techniques.

I understand the principal characteristics of hypnotherapy or reiki, and I agree to participate in this session or program. Furthermore, I understand that if at any time I become uncomfortable and/or unwilling to proceed with the process, I can request to stop the process, and the hypnotic portion of the session will cease immediately.

agree that once sessions/coaching have been purchased, they are non-refundable. The amount/prorata amount may be applied to another program and/or be gifted to a friend or relative.

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

Digital Signature

I accept that I am signing digitally a legal document and releasing Meghan Raza from liability and indemnity, and I agree not to take legal action against the same for healing services I have chosen freely.

Terms & Conditions

info@ascensionliving.ca

Black and white Ascension Living illustration showing a minimalist white circle with a black cross at the center, symbolizing balance.

Member of the Academy of Naturopaths and Naturotherapists of Canada, which allows the issue of receipts for services that can be reimbursed through some extended health insurance coverage. I hold credentials through the International Hypnosis Association, ACNN, and the Canadian Mental Health Association as a certified Psychological Health and Safety Advisor. This work is not a substitute for medical or psychological care.

© Copyright 2026. Ascension Living. All rights reserved. Ascension Living provides neuro-performance coaching and Psychological Health and Safety advisory services based in Prince Edward Island, Canada. 32 Captain James Crescent, Stratford, PEI C1B 4L6. For privacy inquiries, contact [email address].