TERMS & CONDITIONS
I consent to treatment for myself (or my minor child), and understand that the services provided by the practitioner CHARLOTTE JACKSON is intended to enhance relaxation, promote healing and increase communication within my body.
I understand that these services are not a substitute for medical treatment or medications. I am aware that diagnosis is not given and medication is not prescribed.
I understand that participation is voluntary and that at all times I may choose to end my participation. I understand that I may experience ‘healing reactions’ during the first 24 to 48 hours following the services provided.
I understand that any information exchanged during any session is educational in nature and is to be used at my own discretion. I also understand that any information imparted during these sessions is strictly confidential in nature and will not be shared with anyone without my written permission. I do, however, give the practitioner consent to use my case history and results without using my name. I understand that only the practitioner CHARLOTTE JACKSON will have access to information in my file to enhance my healing.
I understand that by providing this informed consent I am assuming full responsibility for the services and I hold harmless both the practitioner CHARLOTTE JACKSON and the facility/location where the services are provided.