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Agreement for Providers

For the Energy Partners Program
In the spirit of service and for the highest good of all concerned, I understand and commit to the following:

1. I understand my role as an Energy Partner to my participant is to provide Healing Touch or Reiki sessions on a regular basis for up to one year. I will only use Healing Touch or Reiki, and will not include other healing modalities.

2. I will provide one-hour sessions and will conduct these sessions at designated locations only. I will provide sessions to my participant in his/her home only if they are unable to physically leave their home. If my participant is admitted into the hospital, I will NOT go to the hospital to do sessions but will provide distant sessions.

3. I will respect my participant's religious, political, and other belief systems and will refrain from imposing my own belief system on my participants.

4. I will refer my participant to appropriate health care or emergency personnel in situations involving substance abuse and or suicide ideation and I will notify the Program Navigator or the Energy Partners Director, and my Coach of this occurrence.

5. I will arrange for a substitute provider or cancel the session if I am unable to see my participant because of vacation plans, illness, or travel. I will make a realistic assessment of my availability for an assignment in this program. I understand I am not expected to conduct sessions during any major trauma in my life.

6. I agree to attend the Growth and Connections group for providers at least five times per year and/or repeat the New Providers Seminar every three years.

7. I agree to complete documentation on each session and keep these records in a secure area. I also agree to administer program evaluation forms for my participant according to LifeSpark procedures, and to collect fees each week unless another arrangement has been made.

8. If I have questions or concerns, or need clarification, I am aware that I can call the Program Navigator or my Coach. If that does not resolve the issue, I may then call the Energy Partners Director at 303-425-5670.

9. I hereby release and absolve LifeSpark Cancer Resources, staff, volunteers, sponsors, and all participating individuals and institutions of any injury or illness I may experience while participating in this program.

10. I agree to maintain professional liability insurance for the modality that I am using in this program during the time that I am a provider.

11. I have read and will adhere to LifeSpark’s Code of Conduct.

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