Appendix - Healing Touch Program

Healing Touch Program TM 

Healing Touch Certification 

Level 6 Training Application 

Level 1 Instructor Certification Application 

April 2008 - April 2010

Table of Contents 


General Information and Instructions 2-4 

Level 6 Training Application 5-7 

Level 1 Instructor Certification Requirements 8-12 

Appendix 

Level 6 Training 

Level 6 Training Application 13 

Level 6 Training Application Checklist 14 

Level 1 Instructor 

Level 1 Instructor Certification Application 15 

Level 1 Instructor Application Checklist 16-17 

Self Evaluation “Teaching Assistant” and “Assistant Instructor” 18 

Self Evaluation “Solo Instructor” Experience 19 

Participant Evaluation Summary 20-21 

Instructor Commitment Statement 22 

Supervising Instructor Evaluation 23-24 

Code of Ethics 25-27 

Scope of Practice 28-30 

© Copyright 2008 Healing Touch Program HTP-930 03.26.08 

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Level 1 Instructor Certification Eligibility 

A certified Healing Touch practitioner may be eligible for Healing Touch Instructor certification. 

The applicant must have been practicing as a certified Healing Touch practitioner for at least one 

year before application and must meet admission standards for Level 6 Training. 

The applicant needs to submit the Level 6 Training Application and satisfactorily complete Level 

6 Training as well as meet all other requirements outlined in this package before submitting an 

application to become a Healing Touch Certified Instructor. 

The title granted to Healing Touch Certified Instructors is HTCI. 

Renewal of certification with the Healing Touch Program takes place every five years following 

the initial certification. 

General Instructions 

There are three parts to becoming a certified Level 1 Healing Touch Program Instructor. 

1. Applicant must be a certified Healing Touch practitioner (HTCP or CHTP) 

2. Applicant must be accepted into and successfully complete Level 6 Training 

3. Applicant must complete requirements and submit application for instructor certification 

status. 

Tuition for the Level 6 Training is set annually. Please contact the Healing Touch Program office 

for current tuition rates. 

Level 6 Training Application 

Application Layout 

• Submit summary materials in the order listed in the application checklist (See 

Appendix) 

• Use 8 ½ x 11 paper 

• Use 1” margins 

• Use a plain type such as Arial for ease of reading 

• Written summary statements should be one page in length and single spaced 

• Submit double sided copies whenever possible 

Application Submittal 

• Submit the Level 6 Training Application at least two months prior to the upcoming Level 

6 class. 

• Submit Level 6 Training Application and materials in order listed in Checklist (See 

Appendix) 

• A $200 deposit must accompany the application . This amount is applied to Level 6 class 

tuition. If you prefer to use a credit card, please fill out the information on the application 

form. If your application is not accepted, this money will be refunded. 

• Submit 1 copy of completed application with all required paperwork 

• Keep a complete copy of your application. Your application will not be returned. 

• Notice of acceptance or decline will be sent to you with 4 weeks of receiving your 

application. 


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Submit to: 

Healing Touch Program 

Attention: Assistant to the Program Director 

P.O. Box 16189 

Golden, Colorado 80402 


Application Layout 

• Submit the Application and materials in order listed in checklist (See Appendix) 

• Use 8 ½ x 11 paper 

• Use 1” margins 

• Use a plain type/font such as Arial for ease of reading 

• Written summary statements should be one page in length and single spaced except 

where noted 

• Submit double sided copies whenever possible 

Application Submittal 

• Submit 3 copies of a completed application including all required paperwork. 

• Bind each copy individually with a single staple or round head fastener in the top left 

corner. 

• Please place your name on each page of your document. 

• Keep a complete copy of your application. Your application will not be returned. 

• A copy of your application will be kept on file at the Healing Touch Program office 

through your application process. 

• Application fee $50.00 

• Application fees are non-refundable. 

• There is no fee for re-submission of application materials when an Applicant is in 

“Certification Pending” Status. 

• Include a check or money order for $50.00 payable to Healing Touch Certification. If 

you wish to pay by credit card, please fill out information on the application form. 

Submit to: 


Attention: Certification Administrator 

P.O. Box 16189 

Golden, Colorado 80402 


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Notification to Applicant 

Applicants will receive a letter, indicating the outcome of the application review within 4-6 

weeks of application submission unless otherwise notified. Status will be noted as “Certification 

Approved”, “Certification Pending” or “Certification Not Approved”. 

“Certification Approved” applicants will receive a congratulatory letter, certificate and pin. 

“Certification Pending” applicants will receive a letter outlining the additional information or 

actions required to address the Pending status. Guidelines to address issues that are denoted as 

Pending will be provided. 

“Certification Not approved” applicants will receive a letter with the reason(s) for this status. 

Non-disclosure 

Applicant names, applications, review, critique and outcomes developed during the review 

process are kept strictly confidential and are available only to those individuals involved in the 

review process. 

Healing Touch Certification Review Panel 

The Certification Review Panel members are Instructors and Practitioners with experience and 

commitment to Healing Touch. Panel members are chosen by the Chair and Vice Chair of the 

Review Panel. Panel participants are Instructors and Practitioners in good standing who have 

been successful and actively teaching or practicing Healing Touch for a minimum of 2 years. 

Application review is done as the applications are submitted. They are reviewed by at least 

two members of the Review Panel. Applications are evaluated based upon completion of all 

requirements outlined for instructor credential standards. Certification approval is at the 

discretion of the Review Panel. 

Applicant Grievance Procedure 

An applicant who has a grievance may write to the Chair or Vice Chair of the review panel. 

Grievances need to be filed within 45 days of notification. The Chair and Vice Chair will work 

with the review panel to address the grievance. The Chair will notify the applicant of the 

outcome. 


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Application Requirements for Level 6 Training 

The Level 6 Training Application must be submitted to determine your preparedness to begin 

training as a Healing Touch Program Level 1 Instructor. 


1. Certification as a Healing Touch Practitioner 

Requirement: 

Applicant must be a Healing Touch certified practitioner (HTCP or CHTP) 

Submission Guidelines: 

Applicant must present a copy of her/his original Document of Certification as a Healing 

Touch Practitioner along with the letter of renewal of Certification (if applicable). 

2. Current Professional Resume 

Requirement: 

A professional resume provides an outline of experience, professional and educational 

background, and personal interests. 


Provide an updated Professional Resume, which includes the following: 

• Formal education (location and dates) 

• Work experience (location and dates) 

• Additional education or training, including all Healing Touch and related classes 

• Professional licensure/recognition/certifications 

• Professional affiliations/memberships 

• Special accomplishments/awards 

• Published works 

• Personal interests 

3. Previous Teaching Experience 

Requirement: 

A written document of your teaching experiences in any field of study which shows your 

experience with teaching adult learners. 


Submit a summarized history of your teaching and/or professional experience 

4. Ethics Reading 

Requirement: 

Applicants are required to read and write a reflective report on Creating Right 

Relationships: A Practical Guide to Ethics in Energy Therapies by Dorothea Hover-Kramer 

prior to attending Level 6. 


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Submit a 2-4 page double spaced reflective report on this text. Focus on answering the 

following questions and provide examples as needed. 


• What new information did you learn from this text 

• How will you apply the content of this book as a Healing Touch Program Instructor 

• What value does this book have to you as an Instructor and to your future HT 

students 

5. Motivation and Plans to Teach Healing Touch 

Requirement: 

Description of your plans for teaching Healing Touch, which demonstrate your desires and 

motivation for teaching. 


Submit a written description of your desires and plans to teach Healing Touch including: 

• Your desired teaching population 

• Where you would like to teach 

• How often you anticipate teaching 

• How you visualize your future with the Healing Touch Program as an Instructor 

6. Current Contributions to the Healing Touch Community 

Requirement: 

List current contributions to and involvement with local or global Healing Touch community. 


Submit a written description of your recent activities and involvement within your local 

community or the regional/national/global Healing Touch Community. 

7. Previous Experience as a Healing Touch Coordinator, Helper or 

Class Mentor or Mentor to Healing Touch Practitioner Apprentices 

Requirement: 

You must demonstrate your classroom experience, clinical mentorship involvement and 

desire to move into Instructorship. 


Submit a list, in chronological order, of your service with Healing Touch as a coordinator, 

helper or class mentor or Healing Touch Practitioner Apprentice Mentor. Please include the 

following for each experience: 

• Date of class 

• Instructor 

• Position in the classroom, i.e. coordinator, mentor 

• A half page, single spaced statement on how these experiences have influenced your 

decision to teach HT. 


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8. Letter(s) of Recommendation 


Requirement: 

A professional letter(s) of recommendation indicates your preparedness to take the Level 6 

Training. 


Include a recommendation from a certified Healing Touch Instructor. This should be from 

an Instructor who is in a position to evaluate you as a potential Instructor. You may 

also include a second letter of recommendation from a professional non Healing Touch 

Practitioner who can speak to your teaching and/or leadership abilities. 

Note: Upon approval of your Level 6 Training Application, the Level 6 Notebook will be 

sent to you to assist you in your preparation to attend Level 6. It is expected that the 

applicant will read the entire Level 6 Notebook before attending the Level 6 

Training. 


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Application Requirements for Level 1 Instructor Certification 

1. Completion of HTP Level 6 Training 


Requirement: 

Applicant must have successfully completed Healing Touch Program Level 6 Training. 


Applicant must present a copy of their Healing Touch Program Level 6 Certificate of Class 

Completion. 

2. Educational Requirements 

Requirement: 

A baccalaureate or higher degree in any field OR equivalent of related schooling, work or 

life experience is required. Whether or not the applicant has a college/academic degree, the 

three following areas of course work are required. 


The Applicant must present a copy of transcripts or reports/test scores as applicable that 

indicate a passing grade for coursework in the following three areas: 

1. Anatomy and Physiology coursework (One of the following requirements 

must be met.) 

• Baccalaureate or higher degree with coursework in Anatomy and Physiology 

• Degree in a healthcare field which included anatomy and physiology 

• Anatomy and Physiology coursework with a passing grade 

• Anatomy and Physiology classes that qualify may be one of the following two 

options. 

1. College level Anatomy and Physiology OR equivalent of related schooling. 

If presenting equivalent schooling, demonstrate equivalency by submitting 

documentation of classes and describe how the coursework is equivalent to 

a college level course. 

2. Anatomy and Physiology for Healers Levels 1, 2 and 3 by Sue Hovland, 

RN, CHTP/I (http://www.anatomyforhealers.com). Submit a completed 

written report according to the Coursework Reflection of Anatomy and 

Physiology for Healers form. This form can be obtained from the HTP 

Assistant to the Program Director and will be available on the HTP website 

as of May 15, 2008. 

2. Psychology coursework (One of the following requirements must be met.) 

• Baccalaureate or higher degree with coursework in Psychology 

• Degree in a healthcare field which included psychology in the degree study 

• Basic psychological concepts (such as, but not limited to abnormal psychology): 

passing grade in a college level course 


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• For applicants without formal coursework in Psychology, demonstrate 

equivalency by presenting documentation of classes, professional experiences 

and/of related work experience(s). Describe how it is equivalent to college level 

coursework and supports your teaching healing work 

3. Ethics coursework (One of the following requirements must be met.) 

• Baccalaureate or higher degree with coursework in Ethics 

• Degree in a healthcare field which included ethics in the degree study 

• Basic ethical concepts with passing grade in a college level course 

• For applicants without formal coursework in Ethics, demonstrate equivalency 

by presenting documentation of classes, professional experiences and/or related 

work experience(s). Describe how it is equivalent to college level coursework 

and supports your teaching healing work 

3. Ethics and Scope of Practice 

Requirement: 

An understanding and following of the Healing Touch Program Code of Ethics and Scope of 

Practice, as well as those for any other professional practice you hold are essential for all 

HTP Instructors. Feeling confident and clear about one’s integrity and having a process to 

work through ethical dilemmas is the foundation on which a safe and sacred ethical practice 

is built and maintained. Healing Touch Certified Instructors model appropriate ethical and 

legal behavior in the classroom and in all Healing Touch related activities. 


1. Submit a one page, double spaced statement describing how you intend to model 

appropriate ethical and legal behavior in the classroom 

2. 

Submit a one page, single spaced document that describes your thoughts on providing 

students with the need for and use of an informed consent when practicing Healing 

Touch and how you would teach the basics of creating such a document. 

4. Healing Touch Professional Practice 

Requirement: 

The Applicant shall document an ongoing practice of Healing Touch 


Submit a statement regarding your professional practice. Include the following: 

• The nature of your current HT Practice 

• How long you have been actively practicing and in what setting(s) 

• Your scope of practice 

• The approximate number and type of clients you see monthly. 

• Future plans for your Healing Touch Practice 


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5. Self Development: Personal, Professional and Spiritual Growth 


Requirement: 

The Applicant must present a statement representing her/his self-study, personal, 

professional and spiritual growth at present, and ongoing plans for development. 


Submit a summary statement of your process and plans related to self-development in the 

following areas: 

• Personal development related to health, behavior and/or interpersonal skills. 

• Professional growth as a Healing Touch Practitioner/Instructor including attendance 

at educational offerings, continuing education or study. 

• Spiritual growth including course work, seminars, spiritual practice, reading and study. 

6. Educational/Reading Experience 

Requirement: 

The Applicant must have read a minimum of 6 books/journal articles. Books and suggested 

reading are listed in the Level 6 bibliography and in the Level 6 notebook. Please know this 

is not an exhaustive list and many other resources are applicable. 


1. Submit a list of at least 6 books/journal articles you have read which include: 

• Items reflect your interests in continuing education related to teaching and Healing 

Touch 

• Items as related to group dynamics and adult education must be included 

• List should include: 

• Full title 

• Author 

• Publisher 

• Date of publication 

2. Write and submit an overall summary of all your readings that reflect your 

understanding of the principles of teaching and how they have prepared you to teach 

Healing Touch methods and course content. Include your understanding of adults as 

learners and key elements of group dynamics. 

7. Three “Teaching Assistant” Experiences 

Requirement: 

The Applicant must participate in three (3) Level 1 training experiences, observing the 

entire course, serving as a formal assistant to the Instructor. This may require filling in 

when needed in treatment exchanges, teaching a pre-arranged segment of the course (not 

a requirement), participating in responding to student’s questions and holding sacred space 

for the class and students. 


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Submit the Self-Evaluation “Teaching Assistant” and “Assistant Instructor” Experience form 

for each experience. This form includes your reflective statement regarding the overall 

value/or lessons learned. (See Appendix) 

8. Three “Assistant Instructor” Experiences 

Requirement: 

The “Assistant Instructor” experiences must follow completion of the 3 “Teaching Assistant” 

experiences. 

The Applicant must teach approximately 50% of each of three (3) Level 1 courses under 

the supervision and evaluation of a Supervising Instructor with a minimum of six student 

participants. The three supervised “Assistant Instructor” experiences must collectively 

reflect teaching all the Level 1 course content at least once. 


1. Submit the Self Evaluation “Teaching Assistant” and “Assistant Instructor” Experience 

form for each experience. (See Appendix) 

2. Include a Supervising Instructor’s Evaluation form for each “Assistant Instructor” 

experience (See Appendix) 

3. Include a Participant Evaluation Summary form for each experience. (Do not 

submit individual evaluations) Include numerical scores and narrative comments. 

Teaching Assistant and coordinators should also fill out course evaluations if the class 

size is fewer than ten students (See Appendix) 

Recommendation: Ideally the size of classes will be varied and the classes will be led by 

different Supervising Instructors for the best overall development and learning experiences. 

Contact the Program Director’s Assistant if you have any concerns about not meeting these 

criteria with an upcoming class. 

9. One Supervised “Solo Instructor” Experience 

Requirements: 

A “Solo Instructor” experience must follow completion of the 3 “Teaching Assistant” and 

the 3 “Assistant Instructor” Experiences. 

The “Solo Instructor” experience must be pre-approved by the Healing Touch Program 

Director. You must teach the entire content of one Level 1 course under supervision of 

an approved Healing Touch Certified Instructor, including responsibility for overall timing 

and management of the group. (Minimum class size of 6.) If the class size is under ten, the 

coordinator and any Teaching Assistants attending class should also fill out a class evaluation. 


1. Submit the Self Evaluation “Solo Instructor” Experience form which indicates 

recognition of self-development and readiness to fulfill the role as a Healing Touch 

certified Level 1 Instructor. (See Appendix) 


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2. Complete and include the Participant Evaluation Summary form for “Solo Instructor” 

experience. (Do not submit individual evaluations.) Include numerical summaries and 

narrative comments. (See Appendix) 

3. Include Supervising Instructor’s Evaluation form. ( See Appendix) 

4. Include a summary report explaining how you handled ethical, clinical, behavioral or 

timing issues, as well as coordinator and environmental issues. 

Note: If the “Solo Instructor” experience is unsatisfactory, an additional satisfactory 

supervised experience will be necessary to meet certification requirements. 

10. Instructor Commitment 

Requirement: 

The Applicant must review and follow the Healing Touch Program Instructor Guiding 

Principles. 


Sign and submit Level 1 Instructor Commitment Statement form. (See Appendix) 


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Application for Level 6 Training 

Submission Date ___________________ 

Name _________________________________________________________________ 

Last 

First 

Address _______________________________________________________________ 

City ______________________________ State/Province ______________________ 

Zip/Postal Code _____________________ Country __________________________ 

Credentials: ________________________ 

Include the phone number(s) and email address you want HTP to use for communication: 

Home Phone ________________________ 

Home Email _________________________ 

Cell Phone __________________________ 

Work Phone ________________________ Work Email __________________________ 

Please fill out and attach the Level 6 Training Application Checklist and all related materials. 

SEND PACKET TO: 

Assistant to the Program Director 

Healing Touch Program 

P.O. Box 16189 

Golden, CO 80402 

Deposit information: 

____ Enclosed is a check or money order for $200.00 

____ Please charge $200.00 to my credit Card Please Circle One: VISA M/C 

Card Number __________________________ Expiration Date: _________ 

Three digit safety code ________ 

Your Signature ___________________________________ 

Office Use Only: Auth # _____________________ CC Order #______________________ 


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Application for Level 6 Training Checklist 


To be used as your final checklist to insure all requirements are met and materials 

included. Include checklist with your application packet. Please organize materials in 

the same order as the checklist below. 

1. Certification as a Healing Touch Practitioner 

Copy of original Certificate as a certified Healing Touch practitioner and Copy of 

Renewal of Certification (if applicable). 

2. Current Professional Resume 

Updated Professional Resume 

3. Previous Teaching Experience 

4. Ethics Reading 

Submit a summarized history of your teaching and/or professional experience 

Submit a reflective report on Creating Right Relationships: A Practical Guide to 

Ethics in Energy Therapies by Dorothea Hover-Kramer 

5. Motivation and Plans to Teach Healing Touch 

Submit a written description of your desires and plans to teach Healing Touch 

6. Current Contributions to the Healing Touch Community 

Submit a written description of your recent activities and involvement within your 

local or the global Healing Touch Community. 

7. Previous Experience as a Coordinator, Helper or Class Mentor 

Submit a list of your service with Healing Touch as a coordinator, helper or class 

mentor. 

8. Letter(s) of Recommendation 

Enclose a recommendation from a certified Healing Touch Instructor 


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Submission Date ___________________ 

Name _________________________________________________________________ 

Last 

First 

Address _______________________________________________________________ 

City ______________________________ State/Province ______________________ 

Zip/Postal Code _____________________ Country __________________________ 

Credentials: ________________________ 

Practitioner Certificate # ______________ Certificate/Renewal Date ______________ 

Include the phone number(s) and email address you want HTP to use for communication: 

Home Phone ________________________ 

Home Email _________________________ 

Cell Phone __________________________ 

Work Phone ________________________ Work Email __________________________ 

Other _____________________________ 

Please fill out and attach the Application Checklist and related materials. 

SEND PACKET TO: 


Certification Administrator 

P.O. Box 16189 

Golden, CO 80402 

____ Enclosed is a check or money order for $50.00 

____ Please charge $50.00 to my credit Card Please Circle One: VISA M/C 

Card Number __________________________ Expiration Date: _________ 

Three digit safety code ________ 

Your Signature ___________________________________ 

Office Use Only: Auth # _____________________ CC Order #______________________ 


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Level 1 Instructor Application Checklist 

To be used as your final checklist to insure all application requirements are met and 

materials included. Include with your application packet. Please organize materials in 

the same order as the checklist below. 

1. Completion of Level 6 Course 

Copy of HTP Level 6 Certificate of Class Completion 

2. Educational Requirements 

Documentation of Anatomy and Physiology Coursework 

Documentation of Psychology Coursework 

Documentation of Ethics Coursework 

3. Ethics and Scope of Practice 

Statement outlining modeling of appropriate ethical and legal behavior in the 

classroom. 

Document outlining the need for and use of informed consent and how you would 

teach the basics of creating such a document. 

4. Healing Touch Professional Practice 

Statement of professional practice 

5. Self Development: Personal, Professional and Spiritual Growth 

Summary statement of ongoing self-study; personal, professional and spiritual 

growth 

6. Educational/Reading Experience 

List of books/journal articles read 

Written summary of all your readings that reflect your understanding of the 

principles of teaching and how they have prepared you to teach Healing Touch 

methods and course content. 


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Level 1 Instructor Application Checklist (continued) 

7. Three “Teaching Assistant” Experiences 

Self Evaluation form for each “Teaching Assistant” experienced 

8. Three “Assistant Instructor” Experiences 

Self Evaluation form for each “Assistant Instructor” experienced 

Supervising Instructor Evaluation form for each “Assistant Instructor” experienced 

Participant Evaluation Summary form, which includes the summary of number 

scores and written comments from students 

9. One Supervised “Solo Instructor” Experience 

Self Evaluation “Solo Instructor” Experience form 

Participant Evaluation Summary Form, which includes the summary of number 

scores and written comments from students 

Supervising Instructor’s Evaluation form 

Summary report explaining how you handled ethical, behavioral, group dynamics, 

timing and environmental issues 

10. Instructor Commitment 

Sign and submit the Level 1 Instructor Commitment Statement form 


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Self Evaluation 

“Teaching Assistant” and “Assistant Instructor” Experience 

(Make copies as needed) 

Name 

Class Location 

Dates 

Supervising Instructor 

Phone 

Indicate relevant experience: 

“Teaching Assistant” Experience: One Two Three 

“Assistant Instructor” Experience: One Two Three 

1. Your strengths and self progression: 

2. Your opportunities for continued growth and your goals/plans: 

3. The overall value of your experience: 

4. What would you change in your next teaching experience 


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(Make copies as needed) 

Name 



Self Evaluation “Solo Instructor” Experience 

Dates 

Phone 

My “Solo Instructor” experience was arranged, assigned/approved by the Healing Touch 

Program Director. 

Signature of Applicant: 

1. Your strengths and self progression: 

2. Your opportunities for continued growth and your goals/plans: 

3. The overall value of your “Solo Instructor” Experience: 

4. Your readiness to carry out the responsibility and role of a Healing Touch Certified Level 1 

Instructor 


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Participant Evaluation Summary 


Applicant 


Location 


# of Students 

Date 

“Assistant Instructor “ One Two Three 

“Solo Instructor” Primary Additional “Solo Instructor” 

Summarize each rating, tallied from the Participant Evaluation of Instructor & Course 

Content 

5=excellent, 4=good, 3=average, 2=fair, 1=poor 

Evaluation and Effectiveness 5 4 3 2 1 NA 

1. The participant will be able to: 

a. Describe the human energy system relationship to 

physical, emotional, mental and spiritual health 

b. Discuss energy principles basic to Healing Touch 

c. Assess the energy field and energy centers 

d. Identify a Basic Healing Touch Sequence 

e. Demonstrate specific intervention techniques used 

in Healing Touch 

f. Discuss applications of Healing Touch in personal 

and professional practice including self care and HTP 

Code of Ethics and Scope of Practice 

2. Relevance of content to identified objectives 

3. Ability to communicate knowledge of subject 

4. Effectiveness of teaching methods 

5. Ability to respond to questions 

6. Ability to stimulate participants 


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Participant Evaluation Summary (continued) 


Location ______________________________ Date ___________________________ 

Evaluation and Effectiveness 5 4 3 2 1 NA 

7. To what degree did the following teaching methods 

facilitate learning 

a. Lecture 

b. Handouts/Workbooks 

c. Work/Practice sessions 

d. Visual aids 

9. To what degree was the physical environment 

conducive to learning 

a. Room arrangement 

b. Lighting 

c. Temperature 

d. Breaks 

Attach in typewritten format, a summary of additional narrative comments by the participants 

for the items below. Please include your name, class location and date at the 

top of the sheet. 

8. What was the most helpful area of learning that you plan to put into clinical practice 

10. Comments related to this program experience. 

11. Suggestions for future offerings/programs and possible presenters. 

12. Additional comments: 


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Level 1 Instructor Commitment Statement 

I am committed to staying involved as an active Healing Touch Certified Instructor, continuing my 

personal self development and supporting the Healing Touch Program through participating in 

the following ways. 

• Commit to a personal intention of teaching a minimum of one (1) Level 1 Healing Touch 

class per year in order to stay in the energetic flow of teaching Healing Touch. 

• Stay informed by accessing the Healing Touch Program website for information. 

• Read Instructor memos, Energy Magazine and the Healing Touch Community Newsletter. 

• Make an effort to attend Conferences and Instructor meetings: Regional, National and/or 

International. 

• Attend all required Healing Touch Program Instructor Teleconferences (either live or by 

listening to them by recording afterward via the website or phone). 

• Continue ongoing reading and study for purposes of staying up-to-date with Healing Touch 

related research, and issues related to energy medicine. 

• Follow the Healing Touch Program Instructor Guiding Principles including the Healing Touch Program 

Code of Ethics and Healing Touch Program Scope of Practice. 

• Have you ever been convicted of a felony ___ Yes 

___ No 

If yes, please explain. ________________________________________________ 

________________________________________________________________ 

Name 

Signature 

Date 


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Applicant’s Name 




Supervising Instructor’s Evaluation 

“Assistant Instructor” and “Solo Instructor” 

Phone 

Dates 

“Assistant Instructor” One Two Three 

“Solo Instructor” Primary Additional “Solo Instructor” 

4=excellent, 3=generally well done/needs minor refinements, 

2=acceptable/needs moderate refinement, 1=poor/needs major improvement 

Subject 

History & Theoretical Basis 

Energy System 

Presentation 

Assessment 

Pendulum, Hand Scan 

Ethical/Legal Issues 

Development of a Practitioner 

Importance of Self Care 

Basic HT Sequence Overview 

Magnetic Passes: HIM, HS 

Demonstration 

Exchange & Sharing 

Magnetic Clearing 

Demonstration 


Chakra Connection (2:2, 1:1, Self) 

Demonstration 


Time 

Mngmt Eval Comments 

Pain Management 

Ultrasound 


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Supervising Instructor’s Evaluation - Continued 


Location ______________________________ Date ___________________________ 

Subject 

Laser 

Pain Drain 

Wound Sealing 

Pain Ridge 

Headache Techniques 

Tension 

Sinus 

Migraine/Pain Spike 

Trauma 

Heart to Heart Meditation 

Chakra Spread 

Demonstration 


Mind Clearing (optional) 

Scudder (optional) 

Networking/Professional Issues 

Time 

Mngmt Eval Comments 

Comments: 

Recommendations for Applicant Improvement: 

Do you recommend the Applicant for Instructor Certification Status: 

____ Yes ____ With Further Development (Please include comments on needed development 

under Areas for Improvement above. An additional sheet may be used if needed. 

Signature 

Date 


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HEALING TOUCH PROGRAM 

CODE OF ETHICS 

PURPOSE: 

The purpose of the following Code of Ethics is to guide the therapeutic practice of Healing 

Touch. 

DEFINITION HEALING TOUCH: 

Healing Touch is an energy therapy in which practitioners consciously use their hands in a heart 

centered and intentional way to enhance, support and facilitate the physical, emotional, mental 

and spiritual health and self-healing. Healing Touch utilizes light or near-body touch to clear, 

balance and energize the human energy system in an effort to promote healing for the whole 

person; mind, body, spirit. 

GOAL: 

The goal of Healing Touch is to restore harmony and balance in the energy system, creating an 

optimal environment for the body’s natural and innate tendency to move toward self-healing. 

1: Scope of Practice 

Healing Touch practitioners use Healing Touch within the scope of their background, current 

licensing and credentialing. They represent themselves to the public in accordance with their 

credentials. They practice within the guidelines of this Code of Ethics; the Healing Touch Program’s 

Scope of Practice statement; and state, local and federal laws and regulations. 

2: Collaborative Care 

Healing Touch is a complementary energy therapy which can be used in conjunction with traditional 

therapies or as a sole modality. Practitioners know the limits of their professional competence 

and do not step beyond these boundaries. They do not diagnose, prescribe, or treat 

medical conditions or disorders unless they hold a license which permits them to do so. They 

are credentialed and in good standing with their respective/legal licensing or credentialing body/ 

bodies. Appropriate referrals to other health care professionals are made when necessary. 

3: Intention 

Healing Touch is used to promote the well being and healing for each client. Client safety, educational 

needs, and well-being are safeguarded by the practitioner. Practitioners working with 

subtle energies are careful to use their ability only in a manner beneficial to the client. Instead of 

trying to change the client in any way, practitioners use their intentionality to cooperate “with 

the field, the emerging order” (Watson, 2005, p. 101). They use their abilities with humility, consciousness 

and professionalism. 

4: Principles of Healing 

Healing Touch practitioners know that healing is a personal, individualized process that occurs 

from within the inner dimensions of the client. The client is supported by the HT Practitioner 

in self-directing this sacred process. The HT practitioner creates a conscious, reverent, caringhealing 

environment. Practitioners foster an optimal condition for that client to remember and 


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CODE OF ETHICS - Continued 


move toward their wholeness through the steps of the HT Sequence and the practitioner-client 

relationship. 

5: Respectful Care 

Healing Touch practitioners maintain high standards of professionalism in their care. They treat 

clients and colleagues with respect, courtesy, care and consideration. HT practitioners respect 

their client’s individuality, beliefs, inherent worth, and dignity. They respect the client’s right to be 

involved in their treatment and they empower the client to give feedback, alter or discontinue 

the session at any time. Practitioners provide information that assist clients in making informed 

decisions about their care. 

6: Equality and Acceptance 

Healing Touch practitioners work in partnership with the client to promote healing regardless 

of race, creed, color, age, gender, sexual orientation, politics or social status, spiritual practice or 

health condition. The client’s inner process, spiritual practices and pacing of healing are respected 

and supported. No specific religious/spiritual belief or practice is promoted in Healing Touch. 

7: Creating a Healing Environment 

Healing Touch is provided in a variety of environments. Practitioners provide (when possible) a 

private, safe environment conducive to healing in which the client can relax and be receptive to 

the healing process. Safe and clear professional boundaries are described and maintained. Permission 

for receiving Healing Touch is obtained through the informed consent process. Where 

hands-on touch is appropriate for the healing process, it is non-sexual, gentle and within the 

client’s consent and boundaries. The client is fully dressed except in medical situations, or other 

professional therapies requiring disrobing, in which case appropriate draping is used. 

8: Healing Touch Sequence 

The Healing Touch practitioner uses the ten-step process as a foundation and guideline, for administration 

of the work and in documentation. The ten steps are: (1) Intake/Update; (2) Practitioner 

Preparation; (3) Pre-treatment Energetic Assessment; (4) Identification of Health Issues/ 

Problem Statements; (5) Mutual Goals and Intention for Healing; (6) Healing Touch Interventions; 

(7) Post-treatment Energetic Assessment; (8) Ground and Release; (9) Evaluation, and (10) 

Treatment Plan. Sequential order of the ten steps may vary depending on the specific situation, 

methods administered and flow of the session. 

9: Disclosure and Education 

Information is provided to the client on an individualized basis taking into account expressed 

needs and personal situations. The Practitioner informs the client of her/his educational and 

experiential background in Healing Touch and any other related credentials they hold. They 

also provide an explanation of the treatment to the level of client’s understanding, and clearly 

and accurately inform clients of the nature and terms of the service. The Practitioner discusses 

the HT treatment process as well as any relevant limitations or issues before HT interventions 

begin. Practitioners supply resources and/or additional materials that may support the client. 


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CODE OF ETHICS - Continued 

10: Confidentiality 

Client confidentiality is protected at all times and records are kept in a secure and private 

place in accordance with state and federal regulations. The Practitioner also informs clients of 

exceptions to their confidentiality such as disclosure for legal and regulatory requirements or to 

prevent eminent harm or danger to client or others. Client health information and treatment 

findings are documented appropriately and are specific to the practitioner’s background and setting. 

Information is shared only with client’s written permission. 

11: Legalities 

Healing Touch practitioners are expected to understand and comply with the laws of the 

state(s) in which they are offering Healing Touch as well as applicable federal regulations in regards 

to obtaining or maintaining a license to touch. Those that have a professional license are 

expected to understand how touch either is or is not included or restricted in their scope of 

practice and comply accordingly. It is expected that HT Practitioners will carry liability/malpractice 

insurance according to state, federal and professional laws to protect themselves and clients. 

It is expected that HT Practitioners will maintain the appropriate business licenses according to 

their state requirements. 

12: Self Development 

Healing Touch practitioners practice self care to enhance their own personal health in order to 

provide optimal care for others. They practice from a theoretical and experiential knowledge 

base as they continue to deepen their understanding of healing, the biofield, spiritual development, 

and personal evolution. They keep themselves current in the practice and research of 

Healing Touch and related areas and seek to continually expand their effectiveness as a practitioner. 

13: Professional Responsibility 

Practitioners represent Healing Touch in a professional manner by exercising good judgment, 

practicing with integrity, and adhering to this Code of Ethics and the HTP Scope of Practice. 

They encourage ethical behavior, by words and actions, to all parties. They consult a supervisor, 

HT mentor, HT instructor or Healing Touch Program Director when an unresolved ethical issue 

occurs. 

Note: The HTP Code of Ethics is an evolving document. We ask Healing Touch students 

and practitioners to be guided by this Code of Ethics and we invite them to send 

comments and recommendations for changes to the Healing Touch Program office at info@ 

HealingTouchProgram.com. 


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HEALING TOUCH PROGRAM 

STATEMENT OF SCOPE OF PRACTICE 

PURPOSE: This Scope of Practice statement defines four levels of Healing Touch (HT) practice 

and outlines how HT providers may refer to themselves, how they can practice and what they 

must be mindful of when practicing. 

GENERAL STATEMENTS THAT APPLY TO ALL DEFINED LEVELS OF PRACTICE 

Code of Ethics 

When offering an HT session, students, apprentices and practitioners will be mindful to follow 

the HTP Code of Ethics and abide by all applicable local, state, and national laws governing their 

services. HT providers do not diagnose, prescribe, or treat medical disorders and use language 

that clarifies this (such as: using the terms “client”, not patient; “clear, open, and balance”, not 

cure; “assess energy fields and centers”, not diagnose; “recommend”, not prescribe; etcetera). 

Providers make referrals to other health care professionals as appropriate /needed and at all 

times respecting the professional status of other health care practitioners. 

Informed Consent 

All HT providers are encouraged to develop and use a Consent Form when offering a HT session. 

Session Documentation 

Starting from Level 2 course completion, all students are encouraged to use Session Intake 

and Session Documentation forms whenever possible. HT Providers will be mindful that this 

information is considered confidential and will therefore follow privacy regulations for documentation 

and HIPAA regulations or confidentiality policies within your region or country. HT 

providers understand exceptions that will apply to holding and maintaining confidentiality and 

confidential records. 

License to Touch 

Students, apprentices and practitioners are expected to understand and comply with the laws of 

the state(s) in which they are offering Healing Touch and applicable federal regulations. 

Students, apprentices and practitioners who hold a professional license are expected to understand 

how touch either is or is not included or restricted in their scope of practice and comply 

accordingly. 

Liability/Malpractice Insurance 

It is expected that HT Practitioners will carry liability/malpractice insurance according to state, 

federal and professional laws to protect themselves and clients. 

Charging for a Session 

It is recommended that until a student/practitioner meets minimal standards for a professional, 

safe and skilled HT practice, asking a full charge for a HT session is not appropriate or ethical. 

As a HT Practitioner (successful program course completion, Levels 1-5), a full session fee for 

HT may be acceptable and encouraged. Once a student is certified as a HT Practitioner, or 


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STATEMENT OF SCOPE OF PRACTICE - Continued 

graduated from the HT Program with a sufficient skill level, a full charge (approximately the 

price of similar therapies in the geographical location) is then considered acceptable and encouraged. 

Students may consider sliding scale fees as well as donations for sessions based on the 

individual student’s/practitioner’s skill set and credentials. Healing Touch students and graduates 

may also choose to offer their services on a voluntary basis without compensation as desired. 

DEFINED LEVELS OF PRACTICE 

I. Student of Healing Touch: 

Students who have received a Certificate of Completion (also commonly known as a certificate 

of attendance) for a Level 1 through Level 3 course , taught by a Healing Touch Certified 

Instructor and are actively participating in the Healing Touch educational program may refer to 

themselves a Student of Healing Touch. They may offer sessions to friends, family, community and 

potentially a client population (if already a practicing health care professional) based on their 

understanding and application of the HT coursework they have completed. 

II. Healing Touch Practitioner Apprentice: 

Students who have completed Level 4 (received a Certificate of Completion for the Level 4 

class) and are participating in a minimum one-year mentorship process with a certified Healing 

Touch practitioner (HTCP or CHTP) may call themselves a Healing Touch Practitioner Apprentice. 

As apprentices, practitioners are actively building their understanding of the clinical work, 

professionalism issues and business skills. 

III. Healing Touch Practitioner: 

Students who have completed Healing Touch Program Levels I through 5 (received a Certificate 

of Completion for each class) and have also received a Certificate of Course Completion (Program 

Graduation) issued by the Healing Touch Program Director, may refer to themselves as a 

Healing Touch Practitioner (HTP). 

IV. Healing Touch Certified Practitioner (HTCP): 

A Healing Touch Certified Practitioner is a Healing Touch Practitioner who, in addition to completing 

the program coursework, met the certification criteria and was approved by the Healing 

Touch Certification Review Panel. S/he may thus refer to her/himself as a Healing Touch Certified 

Practitioner (HTCP). Renewal of practitioner certification is required every five years. 

HEALING TOUCH EDUCATIONAL PROGRAM DESCRIPTION 

Healing Touch is an energy therapy in which practitioners consciously use their hands in a heart 

centered and intentional way to enhance, support and facilitate the physical, emotional, mental 

and spiritual health and self-healing. Healing Touch utilizes light or near-body touch to clear, 

balance and energize the human energy system in an effort to promote healing for the whole 

person; mind, body, spirit. 

The Healing Touch curriculum is a multi-level continuing education program in energy-based 

therapy that progresses from beginning to advanced practice and is complementary to health 

care. The core curriculum program incorporates a variety of energy-based methods that are 

energetically sequenced in five levels of instruction: Levels 1, 2, 3, 4 and 5. 


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STATEMENT OF SCOPE OF PRACTICE - Continued 


Healing Touch provides Continuing Education contact hours for nurses and massage therapists. 

Healing Touch is rooted in the concepts of consciousness, compassion/caring, energy medicine, 

authentic presence, intentionality, self-empowerment, the mind-body-spirit triad and belief in the 

body’s innate tendency toward healing. The Healing Touch practitioner integrates her/his HT 

knowledge with the personal and professional background s/he brings to Healing Touch. 

Each HT course level includes both didactic and experiential learning. Participants practice and 

share in classroom experiences using energy-based healing methods and principles. 

The Healing Touch student undergoes a rigorous and comprehensive program that includes 

114-118 hours of standardized curriculum with Certified Healing Touch Instructors. In addition, 

the program philosophy encourages the developing practitioner to enhance skills and knowledge 

through recommended reading, self care (including receiving HT on a regular basis), networking 

and support groups and through practicing Healing Touch. There is a strong commitment to 

personal growth and knowledge of holistic health principles. 

DESCRIPTION OF HEALING TOUCH PROGRAM 

Healing Touch Program was founded in 1989 by Janet Mentgen, BSN, RN, HNC, CHTP/I as a 

medically-based energy training continuing education program. Healing Touch Program is a for 

profit company. HTP has an affiliation with Healing Touch Worldwide Foundation, founded in 

1997 (formerly known as Healing Touch International Foundation), which provides grants and 

scholarships for research and humanitarian projects related to Healing. The HT Program provides 

the following programs and services: 

Curriculum for Levels 1-5 

Teaching Materials 

Instructor Training and Advancement 

Certification as a Healing Touch Instructor 

Certification as a Healing Touch Practitioner 

Statement of Scope of Practice 

Code of Ethics 

Healthcare Facility Support 

Continuing Education 

Adjunctive Courses related to HT 

Advanced Practice Classes 

Ethics Committee 

Student, Practitioner, Coordinator and Instructor Support 

Energy Magazine (free monthly online publication) 

Healing Touch Community Newsletter (free monthly on-line publication) 

Healing Touch Professional Association 

International Conference 

International Instructor Meetings 

Website 


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Appendix - Healing Touch Program

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