Client services and chart information are confidential. Written authorization is required from you to release any information.
• Your scheduled session is set aside for you.
• Please reschedule your session if you are more than 20 minutes late.
• 24 hour cancellation notice is required to avoid being charged for your session.
I understand that kinesiology therapists do not diagnose illness, disease, any physical or mental disorder, nor do they prescribe medical treatment, pharmaceuticals.
I acknowledge that this therapy is not a substitute for medical examination or diagnosis, and it is recommended that a physician be seen for that service.
It is my choice to receive kinesiology and energy coaching as a form of therapy.
I understand that treatment given is designed to address the blockages and limitations in my life.
I have stated my pertinent medical conditions, and will update Zoe Davis Therapy of any changes in my health status.
I understand that my failure to do so may post a threat to my health and/physical well being and I hold harmless Zoe Davis Therapy from any liability whatsoever arising from failure on my part.
By my electronic signature below, I agree to the session policy and client agreement above.