LIGHT Self-efficacy Program Form

Light-Induced Guided Healing Therapy (LIGHT) Self-efficacy Program

Communication Authorization

As a participant of the Light-Induced Guided Healing Therapy (LIGHT) regimen, you may wish to communicate with your LIGHT instructor/practitioner via email on occasion. In order to ensure your privacy, we request that you give written permission for this form of correspondence.

Informed Consent Agreement

The risks, benefits, and possible side effects of the Light-Induced Guided Healing Therapy (LIGHT) were explained to me. The program includes light hypnosis, guided imagery/meditation, and visualization methods as well as relaxation exercises.

I understand that if for any reason I am unable to, or think it unwise to, engage in these techniques and exercises either during the weekly sessions with the LIGHT instructors or at home during self-practice, I am under no obligation to engage in these techniques nor will I hold the LIGHT practitioners, officers, co-founders, or affiliates liable for any injury incurred from the use of these exercises.

Furthermore, I understand that I am expected to attend each of the five (5) to ten (10) weekly sessions * and to continue its practice at the home for at least 30 minutes per day ( 15 minutes upon waking up + 15 minutes prior to retiring for the day ) for the duration of the therapy regimen.

By agreeing to these terms, I also confirm that the proprietary LIGHT framework offered during this process as well as any readings materials supplied by the practitioners will be utilized solely for my own self-care needs and under no circumstance will I ever offer it to another person or share it without the explicit written consent from the LIGHT co-founders.

* Weekly Sessions - the standard length of therapy is five (5) weeks. The course may be extended up to ten (10) weeks based on the LIGHT practitioner’s evaluation.