Please read the following information carefully as it provides you, the client receiving a session in the Resonance
Repatterning® system, with important information you may want to know concerning your session, its scope and
the level of training attained by your practitioner, as well as certain needs you may have. (Resonance
Repatterning® is also known as Holographic Repatterning® or HR).
1. Resonance Repatterning / HR is not a medical practice or a traditional psychological method, although it is aligned with
energy psychology and energy medicine and works with the energetic foundation that impacts our psychological and
physical states.
2. The Resonance Repatterning® system identifies and transforms any unconscious patterns you resonate with that
create limitations you may be experiencing. The Resonance Repatterning system facilitates a natural state of well-being
or coherence, which research has shown to generate beneficial results at the physical, emotional and mental levels.
3. Only with your permission does your Resonance Repatterning practitioner use the muscle checking technique, also
known as Applied or Energy Kinesiology. Muscle checking involves a gentle contact on your arm and sometimes a contact
over the belly button. The muscle checking technique is used to identify what you resonate with that is maintaining a
non-coherent state of limitation and to confirm the positive change in resonance. (For more detailed information on
muscle checking, see thewww.ResonanceRepatterning.net website).
4. The muscle checking technique is also used for identifying what Modality will transform any negative resonance so you
can move to a higher energy state of coherence.
5. Muscle checking is only used during your Resonance Repatterning session. After the completion of your session your
practitioner will only muscle check for you by proxy or over the phone with your permission.
6. The Resonance Repatterning muscle checking technique cannot be used as a tool for making a decision for you, such
as whether you need an operation or not, or to diagnose a disease condition, or identify if a medical prescription is
correct or not, or to find out whether an abuse experience "really happened," or whether some event occurred, or will
occur. It only checks for what you resonate with, or what will support a higher energy state of coherence.
7. Resonance Repatterning Modalities and the muscle checking technique may require some touch. If you have any
concerns, no matter for what reason, you are welcome to honor your feelings and request a substitute contact, or no
contact, or a substitute modality.
8. In all Resonance Repatterning sessions the client remains fully clothed.
9. Your session is confidential, according to the Code of Ethics and practice set up by the HR Association (see website).
10. Please be aware that Resonance Repatterning students or certified Resonance Repatterning® practitioners (RRP)
have achieved their own specific standard based on their education, skills, experience and personal wisdom.
11. A Resonance Repatterning student may have attended one or more of the Resonance Repatterning seminars.
12. A Resonance Repatterning Practitioner has completed his or her course of study, has been observed and is certified
by the professional non-profit 501 C 6 trade association to have attained a standard of excellence. (See www.
ResonanceRepatterning.net for details on the curriculum and training.)
13. You are welcome to see the Practitioner Seminar Attendance to appreciate the extent of the student’s or certified
practitioner’s training.
14. If you are unhappy with any aspect of your session and are unable to find resolution with your practitioner, you are
invited to contact the Repatterning Practitioners Association at hra@holographic.org, or call I-800-6852811.
I have read and understood the above and take full responsibility for my own well-being and understand that for all
medical or psychological concerns I am responsible for consulting the health care practitioner(s) of my choice.
_______________________________
Client’s signature
_______________________________
Print name
_________________
Date
Repatterning® system, with important information you may want to know concerning your session, its scope and
the level of training attained by your practitioner, as well as certain needs you may have. (Resonance
Repatterning® is also known as Holographic Repatterning® or HR).
1. Resonance Repatterning / HR is not a medical practice or a traditional psychological method, although it is aligned with
energy psychology and energy medicine and works with the energetic foundation that impacts our psychological and
physical states.
2. The Resonance Repatterning® system identifies and transforms any unconscious patterns you resonate with that
create limitations you may be experiencing. The Resonance Repatterning system facilitates a natural state of well-being
or coherence, which research has shown to generate beneficial results at the physical, emotional and mental levels.
3. Only with your permission does your Resonance Repatterning practitioner use the muscle checking technique, also
known as Applied or Energy Kinesiology. Muscle checking involves a gentle contact on your arm and sometimes a contact
over the belly button. The muscle checking technique is used to identify what you resonate with that is maintaining a
non-coherent state of limitation and to confirm the positive change in resonance. (For more detailed information on
muscle checking, see thewww.ResonanceRepatterning.net website).
4. The muscle checking technique is also used for identifying what Modality will transform any negative resonance so you
can move to a higher energy state of coherence.
5. Muscle checking is only used during your Resonance Repatterning session. After the completion of your session your
practitioner will only muscle check for you by proxy or over the phone with your permission.
6. The Resonance Repatterning muscle checking technique cannot be used as a tool for making a decision for you, such
as whether you need an operation or not, or to diagnose a disease condition, or identify if a medical prescription is
correct or not, or to find out whether an abuse experience "really happened," or whether some event occurred, or will
occur. It only checks for what you resonate with, or what will support a higher energy state of coherence.
7. Resonance Repatterning Modalities and the muscle checking technique may require some touch. If you have any
concerns, no matter for what reason, you are welcome to honor your feelings and request a substitute contact, or no
contact, or a substitute modality.
8. In all Resonance Repatterning sessions the client remains fully clothed.
9. Your session is confidential, according to the Code of Ethics and practice set up by the HR Association (see website).
10. Please be aware that Resonance Repatterning students or certified Resonance Repatterning® practitioners (RRP)
have achieved their own specific standard based on their education, skills, experience and personal wisdom.
11. A Resonance Repatterning student may have attended one or more of the Resonance Repatterning seminars.
12. A Resonance Repatterning Practitioner has completed his or her course of study, has been observed and is certified
by the professional non-profit 501 C 6 trade association to have attained a standard of excellence. (See www.
ResonanceRepatterning.net for details on the curriculum and training.)
13. You are welcome to see the Practitioner Seminar Attendance to appreciate the extent of the student’s or certified
practitioner’s training.
14. If you are unhappy with any aspect of your session and are unable to find resolution with your practitioner, you are
invited to contact the Repatterning Practitioners Association at hra@holographic.org, or call I-800-6852811.
I have read and understood the above and take full responsibility for my own well-being and understand that for all
medical or psychological concerns I am responsible for consulting the health care practitioner(s) of my choice.
_______________________________
Client’s signature
_______________________________
Print name
_________________
Date
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| © Copyright 2009, Donna Bruschi, All rights reserved. Resonance RepatterningR is used under license from Chloe Faith Wordsworth. |
| Client Rights |
| Donna Bruschi |
 |