It is my intention to provide my client's with a professional and therapeutic service.
SCHEDULING & ARRIVAL TO YOUR APPOINTMENT
Inner Trust is By Appointment Only. Please make your reservation in advance to ensure the availability of your date and time. Late arrivals will receive a modified treatment to accommodate the next scheduled appointment. The original service time will be charged.
CANCELLATION, RESCHEDULING & NO-SHOW POLICY
If you are unable to give me 24 hours advance notice to reschedule or cancel, you will be charged 50% of your appointment or asked to pay prior to re-booking in the future.
Your appointment at Inner Trust includes time for consultation.
In an effort to maintain a healthy environment, I ask that if you are sick (which includes a cold, a fever, the flu, etc.) or have the onset of symptoms of an illness that you reschedule your appointment.
Gratuities are not included in the prices of our services and are always appreciated. All gratuities are at the client’s discretion.
I understand that the Practitioner at Inner Trust is providing a service within their scope of practice. I hereby consent to my Practitioner to treat me with services provided by Inner Trust for reasons stated in Inner Trust Confidential Health Form. I acknowledge that the Practitioner is not a physician and does not diagnose illness or disease or any other physical or mental disorder. I clearly understand that services provided by Inner Trust is not a substitute for a medical examination. It is recommended that I attend my personal physician for any ailments that I may be experiencing. I acknowledge that no assurance or guarantee has been provided to me as to the results of the treatment. I acknowledge that with any treatment there can be risks and those risks have been explained to me and I assume those risks.
I acknowledge and understand that the Therapist must be fully aware of my existing medical conditions. I have completed my Confidential Health Form of which consists of answering any medical conditions affecting me. It is my responsibility to keep Inner Trust updated on my medical history. The information I have provided is true and complete to the best of my knowledge.
I have read the above noted consent and I have had the opportunity to question the contents and my therapy. By signing this form, I confirm my consent to treatment and intend this consent to cover the treatment discussed with me and such additional treatments as proposed by my Therapist from time to time, to deal with my physical conditions and for which I have sought treatment. I understand that at any time I may withdraw my consent and treatment will be stopped.