Each client will need to sign the consent form below
prior the treatment
Terms & Conditions / Disclaimer
Ruqya is a form of spiritual healing/meditation which solely entails listening to the recitation
of the Holy Qu’ran. The Qu’ran, in this instance, is recited by Abu Dujana and by signing this
form, I hereby confirm that I opt voluntarily to take part in this service and am aware of what
this service involves. I accept full personal responsibility for any emotional, mental and
physical effects that may occur or be experienced during or after this/these session(s).
All minors (children under the age of 18) must be accompanied by two adults/guardians, one
of which MUST be either a parent OR have parental responsibility.
According to The Data Protection Act, I understand that my data will not be shared with any
third parties unless there are reports of child or elder abuse or neglect or threats to harm
oneself or someone else. In such cases, I understand that necessary actions will be taken
and my confidentiality agreement will be limited in this capacity. Certain circumstances may
mean that Abu Dujana may consult with other practitioners to provide the best possible care.