For any related treatments, services, and products provided by Wholistic®


Please read, electronically sign, and submit your consent.

Wholistic® Services consent between

and Elena Bensonoff.

The purpose of this consent form is to explain our intent as well as what you can expect from our sessions. We are there to support and guide you in your personal evolution. We assist you by being supportive, honest, present, compassionate, and by directing you back to your own wisdom using a vast variety of techniques, some of which are science based systems that strengthen, balance, clear, and charge your energy field. We release energetic blocks that lead to disease and enhance your body’s natural healing potential.

We are partnered on this journey together and we will be there to support you but you must take personal responsibility for your healing and stay committed to your transformation. This personal responsibility is essential. Each session is very individualized and we are fearlessly and lovingly invested in your well-being and your personal commitment is an integral part of our success together. Confidentiality is 100% assured.

During the treatments, you will remain fully dressed. At times we may place our hands on you and at other times our hands will be working off of your body. If at any moment during the session you are uncomfortable, please inform us immediately. Self-care and personal responsibility go hand in hand in our endeavor together. In your session, we may discuss the major stresses in your life, belief systems, childhood, health history, habitual thoughts and patterns, traumas, and other issues that may have influences on your emotional, mental, and physical well-being.

We do not advise you to discontinue any medical treatment you may be receiving. Our work is intended to be in harmony with any other healing work that you undertake, including traditional Western medicine. Please feel free to discuss our work with your doctor and/or therapist. We are not physicians and do not diagnose disease or prescribe drugs. We serve as Spiritual Health Practitioners.

Feng Shui: We are absolutely grateful to work at each of our clients’ premises and treat each situation and all of the belongings with the uttermost respect. Wholistic®, Elena, is not responsible for any lost or damaged items and property while conducting our services on your premises.

Past Life Regression Expectations: Everyone experiences a past life regression in their own way. You may see yourself quite clearly in vivid detail or you may only experience quick impressions. Some people do not “see” anything, but have an inner “knowing” or feeling of what is occurring. Others describe the experience as though someone is telling them what is happening or narrating a scene. It is important to focus on all of your senses during the regression as you may be surprised which are specific to you. Strong emotions, smells, sounds, temperature differences and textures are all a part of the experience. It is not uncommon for someone who is experiencing a regression for the first time to feel as if all or part of it may have been imagined. Sometimes a person will question the source of the material, believing that it may have come from a movie that they have seen or some other place or event. It is important to know that the subconscious mind often works with symbols, a phenomenon that we are most familiar with through our dreams. The most important thing to remember is to keep an open mind and to not actively analyze your experience during the session. You will get more out of your regression if you give yourself over to the experience as it unfolds. There will be plenty of time for analysis and interpretation afterwards. Certain memories or images experienced during past life regression may represent traumatic events which can evoke intense emotional reactions or distress. These emotionally charged images are often quite useful for facilitating insight, understanding, and healing, but such intense experiences can nonetheless be emotionally troubling. A past life regression is not something that should be entered into lightly. A past life regression is an entirely voluntary experience. If at any time one becomes too uncomfortable and/or unwilling to proceed, you may request to stop and the regression will cease immediately.

Understands that Elena Bensonoff does not diagnose illness, disease, or mental disorders. Nor does she prescribe medical treatment or pharmaceuticals. It has been made clear that energy healing is not a substitute for medical examination or diagnosis and that is recommended that I see a M.D. for any physical or mental ailment. With this in mind, I agree that Wholistic® and Elena Bensonoff cannot be held liable for any problems that might arise that I think could be attributed to the energy balancing sessions or any other services that we provide. I have stated all of my known medical conditions and vow to keep Elena updated on my physical, mental, and emotional health. I attest that I understand the nature of the treatment and freely elect to receive treatments. I release Elena Bensonoff and Wholistic® from any and all claims of malpractice, nondisclosure, or lack of informed consent.

Signed in agreement:

We thank you so much and look forward to working together!