1. I understand that holistic practitioners are not medical doctors and do not diagnose illness,
disease, or any physical or mental disorder. I acknowledge that alternative holistic therapies are not
substitutes for medical treatment, and that The happy Mind Studio & James Graydon-Rhodes, “the company”, recommends I see a primary
healthcare provider for that service. I understand that it is my responsibility to communicate with my therapist if I have any concerns or questions about my session.
I do not have any injuries or conditions that would prevent me from receiving a
an holistic therapy, nor have I been told by a health care provider that I should not receive any alternative therapies.
2. I understand that holistic services are a therapeutic health aid and are non-sexual. I understand
my therapist reserves the right to end a therapy session in the case of sexual innuendo or advances from the
client. I also understand that any illicit or sexually suggestive remarks or advances made by me will result in immediate termination of the holistic therapy, and I will be liable for full payment of the scheduled session.
3. Any information exchanged during a session is confidential and is only used to provide me with the
best health care services available. I understand that my therapist will ask me questions about my health and
physical condition and that I am obligated to answer truthfully and honestly about my health history in full detail.
4. I understand that my feedback is essential in my treatment, and that if I experience any unusual discomfort and/or pain during my session, it is my responsibility to inform the therapist in order to enable the therapist to adjust the pressure or technique being used.
5. The therapist reserves the right to decline, discontinue, or restrict services based on any provided information that may indicate that the therapy would put my health or the therapist’s health at risk.
6. I acknowledge that I am responsible to be on time for my appointments and that the therapist is not under any obligation to extend my therapy session. I also agree that I am responsible to pay for the full time I have booked with the therapist if I
am late. I understand that my appointment time is reserved for me only. If I miss an appointment or am unable to give twenty four (24) hours’ notice when I need to change or cancel my appointment, I agree to pay the company in full for the
booked appointment time.
7. I understand that holistic therapies are for the purposes of stress reduction, relief from pain or discomfort, general relaxation and improvement of circulation and energy flow. Talking Therapy is provided to support and guide you through difficult times of your life, You therapist is duty bound to contact emergency services if you advice or suggest you intend to harm yourself.
8. I understand that the practitioner does not prescribe medical treatment of pharmaceuticals.
9. I understand that the service offered today, and in the future, are not a substitute for medical care and that any information provided to me by the therapist is purely for educational purposes and is not diagnostically prescriptive in nature.
10. I have stated all of my known medical conditions on the Client Intake form. I have consulted a medical doctor or licensed
medical health care practitioner regarding any checked or described conditions.
11. I understand that it is solely my responsibility to keep the therapist updated on any changes in my physical health and I further understand that the company and the therapist shall not be liable for any purpose and for any reason whatsoever,
should I fail to do the needful as per this paragraph.
12. I have reviewed this form in its entirety and I have discussed all my concerns regarding my treatment with my therapist.