Client Information
Emergency Contact Information
Medical
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Thanks for trusting me. I’m committed to giving you excellent care and attention.
Many feel better after one visit, but the best results come from multiple sessions building on each other for lasting health in body, mind, and spirit.
Confidentiality
Your information is confidential and used only for healing services. I’m not a licensed medical professional and won’t diagnose or treat medical conditions. By filling out this form, you agree to use your information for healing purposes.
Safe and Private Space
My space is safe and confidential. Privacy and trust are a priority, and your information won’t be shared.
Your time here is protected and respected. Appointments are scheduled for your privacy, with time between clients for energy cleansing.
Your Appointment
Arrive a few minutes early—I’ll be ready. I prepare for your visit and will contact you if you’re late, as I care about your well-being.
Please give at least 24 hours’ notice to cancel, or the full fee may be charged. Sessions last one to two hours; let me know if you need to leave early.
How to Cancel or Reschedule
Cancel or reschedule online via the link in your confirmation/reminder.
How to Pay
We accept cash, cheque, or e-transfer to [email protected] (add HST to all services).
By submitting this form, I confirm I’ve read and understand this policy. I’ll inform the therapist of any new conditions during treatment. I acknowledge treatments may cause emotional release, cold symptoms, or tiredness, and I release the therapist from any uncomfortable results.
If your form details remain after clicking 'SUBMIT' please fix the error above. When the form resets to blank, your details have been received.
Holistic Healing, Personal & Professional Development
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