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Home page: Introduction

Client Consent Form for Work with Vinny Pinto, Spiritual Healer

Vinny Pinto is a spiritual healer, also sometimes known as a subtle energy healer. 

He is highly intuitive and offers non-contact, nonlocal spiritual healing either at a distance, usually arranged and coordinated by telephone, or in person.    

Vinny has drawn up a client consent form to ensure that clients understand the nature of the spiritual healing relationship.  I ask that all clients who wish to start work with me in a live session (versus remote sessions) sign a consent form which I have reproduced below.  Please feel free to print the form below (alternatively, I have printed copies in my office for your use) and then sign and return it.  Thank you!

1)  This practitioner is not a medical doctor, psychologist, psychotherapist or chiropractor. This practitioner does not claim to be a licensed health care provider of any sort. This practitioner does not take any legal or clinical responsibility for the health or welfare or health care of the client.

2)  This work is never offered as a replacement or substitute for conventional medical or behavioral health care treatment, but rather as an ancillary modality.

3)  This work is seen only as discipline which is complementary to any and all accepted medical and alternative practices, rather than claiming to be an alternative to any such practice.

4)  This practitioner does not represent himself/herself as a licensed health care provider, and rather only as a provider of an ancillary, optional service. The licensed health care providers which a client has engaged are the only entities who are legally and clinically accountable for the health and welfare of the client.

5)  If a client is referred to the spiritual healer by a licensed health care provider, the client and provider must realize that the licensed health care providers which a client has engaged are the only entities who are legally and clinically accountable for the health and welfare of the client.

6)  Clients will always remain fully clothed during a session, although they are welcome to remove bulky outer clothing such as jackets or sweaters, as needed to make themselves comfortable.

7)  No third party, including apprentices, assistants or members of the client’s family, may be present during the course of a session with an adult client without the express consent of the client.

8)  Spiritual healers never touch the skin or person of a human client during the session, and never use manipulation, massage, or other forms of direct contact.

9)  All information given to a spiritual healing practitioner is confidential.  Information will only be disclosed with express consent of the client, or if demanded by a legal authority whom the practitioner believes to have legal right to the information.

10)  Any spiritual healing work done with anyone under the age of 18, will only be done with the approval of parent or guardian, and any and all sessions will take place only when and if a parent or legal guardian is present at every moment.

11)  The practitioner does not claim or represent that they will successfully cure or remediate any physical or behavioral health care problem.  Rather, this is a supportive modality.

12)  I understand that Vinny's method does not claim to cure or fix any ailment, but rather to offer a deeper sense of connectedness with grace and ease, and a deeper ability to meet life's challenges.

13)  I understand that Vinny Pinto does not offer diagnosis, treatment or cure for any diseasse or disorder, but rather deep support at a spiritual level.

14)  I understand that, regardless of any testimonials or reports of client healings, Vinny Pinto does not claim to offer miracle cures or magical healing, but rather simply offers treatment which apparently affects only in a subtle and gentle way the very subtle energy fields of body, mind and spirit.

15)  I, the undersigned, do not hold Vinny Pinto legally or clinically responsible for any aspect of my physical or behavioral health or care thereof.

16)  I understand that if I or the intended client have a serious physical or behavioral health problem that I or the client am/are expected to be working with a licensed and qualified conventional or alternative provider.  I understand that this spiritual work does not replace such therapies.

17)  I certify that if I or the intendeed client have a serious physical or behavioral health disorder, that I or they are under the care of a qualified and licensed medical or alternative practitioner.

18)  I have read Vinny's tri-fold brochure and/or the follwing pages on his website (http://ww.divine-heart.org):

Home page: Introduction
Vinny's Training & Background
Details of Vinny's Method & Work
Frequently Asked Questions

I request Vinny Pinto to perform spiritual healing sessions with (please check one):

____ myself
____ someone else, named: ____________________________  (please print name)

Signed__________________   Printed name ___________________ Date _______

Witness__________________  Printed name___________________  Date_______