BIODYNAMIC CRANIOSACRAL THERAPY CLIENT AGREEMENT
- I agree that it is my choice to receive Craniosacral therapy treatment.
I give permission for the therapist to work on all parts of my body, including areas such as the head, neck and spine, tailbone, rib
cage, front of the chest (sternum), abdomen, pelvis, arms and legs. - I understand that the parts of the therapist’s body may come into contact with mine at times during the treatment.
- I agree to communicate with my therapist at any time if I feel like my well-being is being compromised or I feel
uncomfortable in anyway. - I understand that I can refuse treatment (or any part of treatment) now or in the future without jeopardising future treatment at this practice if applicable.
I understand that it is important that I inform my therapist of any concerns, reactions or discomfort associated with treatment. - I understand that I can also request to see another practitioner at this practice if applicable.
I have stated all medical conditions that I am aware of and will update the therapist of any changes in
my health status. - I agree that information recorded in my case history sheets may be used for research/ audit purposes ensuring that personal information is anonymized and treated in line with the requirements of the Data Protection Act.
- I understand that this treatment is not covered by insurance.The therapist is not responsible for any billing or dealings with private health insurance companies.
- I understand that any illicit or sexually suggestive remarks or advances made by me will result in immediate termination of the session, and I will be liable for payment of the scheduled appointment.
I confirm that I have read and understood the Practice Information and I consent, as parent, guardian or appointed care to this patient receiving Craniosacral therapy treatment at this time.
I understand that they can refuse treatment (or any part of treatment) at any time in the future without jeopardising future treatment at this practice if applicable.