Name

First Name

Last Name

Cancellation Policy

If you need to reschedule or cancel your appointment, please notify us at least 48 hours in advance to avoid a cancellation fee. Any sessions cancelled within 48 hours, will incur the full session fee. By placing a “√” in the box, you agree to the Cancellation Policy for this session and future sessions. This is required for any and all sessions booked.

Yes, I agree to the Cancellation Policy.

Consent to Treatment

I, the undersigned, understand that Reflexology / Reiki / Sound healing / Crystal healing therapists are not trained to diagnose or prescribe and that they cannot share my personal information without my prior consent. I confirm that I have informed the therapist of my known medical conditions and answered all questions truthfully. Should I seek further treatment sessions from the therapist, I agree to update them as to any changes in my health profile and understand that there shall be no liability on the therapist’s part should I neglect to do so. I understand that I may stop the session at any time. Further, I understand that Reflexology / Reiki / Sound healing / Crystal healing does not substitute for medical advice, examination, diagnosis, or treatment. I agree that I will seek the advice of my physician, or other qualified healthcare provider, with any questions I have regarding a medical condition and before undertaking any changes in my healthcare.

Yes, I agree to the Consent to Treatment terms.