Colorado Disclosure Form

Brenda Dulin

Sacred Lotus Reiki & Natural Healing LLC

DISCLOSURE STATEMENT AS REQUIRED UNDER SB-215 FOR

COMPLEMENTARY AND ALTERNATIVE HEALTH CARE PRACTITIONERS IN COLORADO

As a Complementary and Alternative Health Care Practitioner, I am not licensed, certified or registered by the state of Colorado as a health care professional.  I am not a licensed medical physician and do not diagnose, treat or prescribe remedies for the treatment of disease.  The services I perform, whether in person, by mail or by phone, are at all times restricted to complementary and alternative health care services intended for the maintenance of the best possible state of general well-being.  I am prohibited from performing surgery or any invasive procedure, administer or prescribe x-ray radiation, prescribe prescription drugs, use general or spinal anesthetics, administer ionizing radioactive substances, use a laser device that punctures the skin, perform enemas/colonics unless board certified, practice midwifery, practice psychotherapy, perform spinal manipulation, practice optometry, directly administer medical protocols to a pregnant woman or a person who has cancer, practice dentistry, set fractures, practice massage therapy, provide a conventional medical disease diagnosis or recommend the discontinuation of a course of care recommended by a health care professional.  Further, you understand the services I offer and the use of Reiki and Meditation are not intended to be a substitute for medical or psychological treatment and they do not replace the services of health care professionals.  You agree and understand it is your responsibility to consult with your health care provider for any specific health care problems.

By signing this document you understand I am offering my services solely as a complementary and alternative health care practitioner and our relationship is not to be construed as medical treatment, psychotherapy, psychological counseling, or any type of therapy, nor is it a substitute for these services.

I am prohibited from treating children less than two years of age. In order to treat a child who is between 2-8 years of age, I must have a written, signed consent of the child’s parent or legal guardian.

The services I, Brenda Dulin, provide are as follows: Reiki Treatments and Meditation and may include crystals, pendulums, aromatherapy

My professional degrees, training, experience, credentials and qualifications are as follows:

Reiki: I trained in Reiki I with Barbara Kajan Scott in 2012, In 2020, I trained in Reiki I and II with Lisa Guyman and completed Reiki Master and Teacher Training courses in 2021 with Lisa Guyman. Teaching Assistant with Lisa Guyman for group workshops. I have been practicing Reiki since 2012. I am a member of the International Association of Reiki Professionals (IARPReiki.org).

Meditation: I completed Primordial Sound Meditation with Lisa Guyman in 2008.

I am currently in training in Somatic Healing, Ayurveda, & Breath Work for certifications. In March 2025, I will be training in Yoga Nidra for my teaching certification.

Brenda Dulin, RMT

Owner, Sacred Lotus Reiki & Natural Healing LLC

Colorado Springs, CO