Please see copy of the Informed Consent/Covid 19 form declaration below which ….
I REQUIRE YOU TO RECONFIRM CONSENT AND YOUR COVID-19 STATUS AT EACH APPOINTMENT
Declaration
I have completed this form to the best of my ability and knowledge and agree to inform my
therapist if any of the above information changes at any time.
I understand that the advice and information included in my sessions is not meant to replace professional medical advice, and I should consult with my primary care practitioner before beginning any new health programme or exercise regime
General Liability Release
By signing below, you agree to the following:
1) I give my permission to receive online consultation
2) I understand that EMMETT Technique and Bowen Therapy are not a substitute for traditional medical treatment or medications
3) I understand that the therapist does not diagnose illnesses or injuries or prescribe medications
4) I have clearance from my physician to receive EMMETT Technique and Bowen Therapy
5) I understand the risks associated with EMMETT Technique and Bowen Therapy include, but are not limited to superficial bruising, short-term muscle soreness, exacerbation of undiscovered injury.
