Skip to content
Toggle Navigation
Cart
0
Shop
Memberships and Passes
Products
Gift Cards
Classes
Class Types
Private Classes
Schedule
Complementary Health
Red Light Therapy
Reiki
Breathwork Meditations
Biodynamic Craniosacral
Yoga Therapy
Shamanic Healing Circles
Coaching and Trauma Healing Services
Workshops & Registered Programs
Next Level – Fitness + Nutrition Program
Workshops
Kids Yoga
Prenatal Yoga
Baby and Me Yoga
About
Community
Corporate Wellness Program
Policies
Instructors
Blog
Contact
Biodynamic Craniosacral Therapy: Client Agreement
test test
2024-03-25T12:22:07-06:00
Biodynamic Craniosacral Therapy: Client Agreement
Name:
(Required)
First
Last
Address
(Required)
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Telephone
(Required)
Email
(Required)
BIODYNAMIC CRANIOSACRAL THERAPY is about orienting to the Health that is in the system. Please answer the following two questions about Health in your body and life:
Resource in your Body:
(Required)
What area of your body is the most healthy, comfortable, relaxed, strong, pain-free, or maybe bothers you the least? It’s important to develop a relationship with all of your body parts and begin noticing what areas are places you can rely on and feel safe within.
Resource in your Life:
(Required)
What/who/where are your support networks? What do you do for YOU? What relaxes you? What’s fun, inspiring, or gives you energy? What in your life “feeds your soul,” “makes your heart sing,” “makes you smile from the inside out?”
Reason For Visit:
(Required)
Generally there is something running in people’s systems that they are wanting to experience a change or shift in. Please let me know the primary thing that is affecting you today.
Pain/ Discomfort level (on average) through the day (from 0-10), if applicable.
(Required)
Range of Motion Limitations, if applicable.
(Required)
When is it better? When is it worse?
(Required)
Past and Current supports (treatments/practices/meds/etc) you have accessed/available for this issue and results so far:
(Required)
Quality/Quantity of Sleep:
Is there anything else you think I should know:
(Required)
Cancellation Policy
(Required)
I have read the policy
I understand that I am being asked to give at least 48 hours notice if I must cancel or reschedule an appointment. All appointments are paid in full at the time of booking and if I give at least 48 hours notice to reschedule, the cost of the service will be returned to my account. If I need to cancel the appointment and am unable to rebook, I will receive a refund less 10% admin fee. I will not receive any refund or credit if I cancel an appointment within 48 hours of the appointment, or if I do not show for my scheduled appointment.
Cancellation
(Required)
I acknowledge the cancellation policy
Informed Consent
(Required)
I have read the disclaimer
I understand that the biodynamic craniosacral therapy provided by Cora Rennie is intended to reduce pain, integrate structural imbalances, decrease myofascial restrictions, decrease neural impingement, increase range of motion, improve circulation, enhance relaxation, increase the experience of overall health, and offer a positive, safe experience of touch.
I understand that biodynamic craniosacral therapy is not a substitute for medical treatment or medications, and that it is recommended that I work concurrently with my Primary Medical Care Provider for any condition I may have. I am aware that the therapist does not diagnose illness or disease and does not prescribe medications.
Consent
(Required)
I agree to the above statement
Page load link
Go to Top