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    Bow-EMM Therapy

    Easing pain & discomfort with EMMETT Technique and Bowen therapy in Portsmouth and Southsea

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    You are here: Home / INFORMED CONSENT

    INFORMED CONSENT

    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.

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    Contact us:

  • Jill 07740 190 721
  • Paul 07764 488329
  • By Appointment at:

  • The Grove Centre,
  • Southsea
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