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Enlightened Sound Intake / Waiver Form

To ensure your sound bath experience is as safe, supportive and relaxing as possible, I ask all attendees to complete this short intake / waiver form before their first session. If there are any changes to the information you supply to me below, please ensure that you fill in a new form. Many thanks.

How did you hear about Enlightened Sound?
Have you experienced a sound bath before?
No
Yes
Do you have any medical or mobility issues that Emma needs to be aware of?
No
Yes
Do you have any allergies that Emma needs to be aware of?
No
Yes

The sound baths Emma Wells IBHM hosts are not suitable for some medical conditions. Those with the following medical conditions should not attend a sound bath with Emma.

Medical Exclusions List

Pregnancy

Epilepsy

Seizures

Severe sleep apnoea

Medical electrical devices

Pacemakers, Stent or mechanical shunt

Recent & active blood clots

An acute mental health condition

Brain surgery

Severe sound sensitivities

You are not permitted to attend a sound bath under the influence of alcohol or illegal drugs.



Proceed with Caution Recommendations

Those who have the listed below please proceed with caution and consult your doctor prior to booking a sound bath with Emma.

Please make Emma aware of any sore areas prior to a treatment.

Only your doctor knows your full medical history and is legally qualified to give an accurate diagnosis of your suitability to take part in a sound bath.

Heart Conditions. Sound baths could potentially affect heart rhythm and blood pressure.

Metal Implants. Rarely some can cause discomfort due to the vibrations.

Recent surgical scars or serious injuries. A sound bath could cause discomfort and complications

If you are unsure if your medical condition is suitable for you to attend a sound bath, please consult your doctor prior to booking with Emma.


Sound healing should not replace conventional medicine. Instead, it should be considered as a complementary therapy to use as part of your own self care practices.

To get the most from your sound bath a 'Self-Care After Your Sound Bath' information can be found on the Enlightened Sound Website and is recommended to reed before attending.

*By signing your name in the I confirm box below, you have confirmed that you have read and checked the Medical Exclusions List and the Proceed with Caution Recommendations information, that you accept full responsibility for attending a sound bath with Emma Wells and that of any future sound baths with Emma Wells IBHM of Enlightened Sound Norfolk.


I acknowledge the inherent risks and voluntarily assume full responsibility for any injury, damage or loss that may result from my participation. I hereby waive and release Enlightened Sound, Emma Wells IBHM, the business, its owners, and its staff from any liability, past, present and future, relating to the services provided.

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Date of confirmed signature
Day
Month
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For administrative purpose only
Paper Format

Contact Me

IPHM International Practitioner of Holistic Medicine Member

Emma Wells IPHM

Mail: emma@enlightenedsound.co.uk

Tel: 07535956985

Some Images used throughout this website are subject to copyright

 ©  Emma Wells November 2025 

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