Informed Consent Agreement

I understand that the services given to me by Kay Lowell/Spiritual, Health, and Wellness Center is for the purpose of stress and pain reduction. If I experience pain or discomfort during the session, I will immediately inform my practitioner so that pressure/strokes can be adjusted to my level of comfort. I will not hold my practitioner responsible for any pain or discomfort I experience during or after the session.

I understand that the practitioner does not diagnose illness or disease and does not prescribe medical treatment or pharmaceuticals, nor are spinal manipulations part of this service.

I understand that these services are not a substitute for medical care and that it is recommended that I work with my primary caregiver for any condition I may have.

I have stated all my known physical conditions and medications, and I will keep the practitioner updated on any changes.  By signing this release, I hereby waive and release Spiritual, Health, and Wellness Center  from any and all liability, past, present, and future relating to bodywork.

 

___________________________________________                                                           ________________________________

Signature                                                                                                                                                            Date

%d bloggers like this: