Treatment Consent Form Sarah Turner Therapies

Healing as a therapy compliments any other treatment you are receiving, and your GP should be consulted about medical conditions that may need attention.

I understand that the treatment offered is complimentary to any other prescribed treatment; it is not a replacement for medical treatment. I have had explained to me the processes involved, whether the treatment is hypnotherapy, reiki, or a combination of both and understand and consent to the treatment. Once the treatment has been delivered and paid for the cost is not refundable. I am over 18.

Your confidentiality will be respected at all times, with the exception of-

If you, or the person you are signing of behalf of, is in danger of causing serious bodily harm to themselves or others; suspected child abuse.

Name of client

Please add your name or the person you are signing on behalf of

First Name

Last Name

Date of Birth

Address line 1

Address line 2

Post code

Name if signing on behalf of another as parent or guardian

First Name

Last Name

Today's Date

Tick here confirm you agree

Please select one of the options below

I agree

I disagree