I hereby give my consent to participate in an (In Person or Distance) Energy Healing Session.

   I understand that the therapist, Karen Elford is a Holistic Health Practitioner, not a licensed medical doctor. She will not diagnose or prescribe for a disease or condition. Services do not take the place of prescribed medications or treatments but to enhance.  I understand that I am under no obligation to follow suggestions made by Karen Elford. I understand that I must continue to have regular check-ups with a licensed physician as part of my overall medical health plan.

   All current health and safety protocols set by the Government of Canada will be followed for In-Person sessions. I will do my part to abide by these protocols. At an In-person session, it is implied that if I sit down on the stool or lay down on therapy table, I am giving my consent for the session. I can withdraw that consent at any time.

   All fees for holistic services are due and payable at the time of booking by charge card or Pay Pal. Cash or cheque is an added option, for In-Person sessions, due at the beginning of my session time. I will give at least 24 hours notice to cancel or reschedule. Prepayment will be refunded or transferred to a new time scheduled.

   All personal information and documents will be kept secure and confidential by Karen Elford on behalf of Talking Stick Healing. Info will only be disclosed if there is a major concern for my well being or requested by law. Written consent must be given by me before my information is shared with another. Files will be secured for 10 years after my last appointment when they will be appropriately destroyed.

   I understand that by providing this consent form I am assuming full responsibility for participating in this treatment session and hold harmless both, Karen Elford of Talking Stick Healing and the location where services are provided.

   I acknowledge and agree to all terms listed within. All info given about myself and medical history is correct for my own safety and benefit.

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