CONSULTATION TERMS & CONDITIONS 

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Please Read Prior To Filling Out The Online Medical Form 

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I understand that the Alternative Therapy is not a substitute for medical treatment or medication and that I will work with my primary care giver for any condition/conditions I may have. I am aware that the therapist does not diagnose illness or disease. 

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I am aware that the Alternative Therapy must not be performed under certain circumstances and I have made the therapist aware of my existing medical conditions. 

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It is my responsibility to keep the allotted appointment time and to keep the therapist updated on my medical history. It is my responsibility to inform the therapist of any changes to my physical well being and health that maybe effected by the treatment being provided. 

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I understand I may potentially receive some tissue redness or slight bruising from some of the therapies such as massage, dry needling and cupping. If I experience any pain or discomfort during the session or treatment, I will immediately communicate it to the therapist so the treatment can be adjusted. If I have any questions about the Therapy, I know that I am free to ask and the therapist will happily answer. 

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The information that I will provide on the Medical Form is true and complete to the best of my knowledge.