*A staff member will contact you following your booking to confirm your appointment. **Your appointment may be scheduled up to 10 business days after receipt of payment.***Occasionally, it is necessary to reschedule appointments due to last-minute changes in Kim’s calendar. We apologise, in advance, for any inconvenience that may be caused.

• Sessions are conducted by telephone, Skype, Zoom, or Psychology Today therapy room.
• All fees for are non-refundable and subject to GST.
• Agreement: In consideration of the purchase of an appointment it is your intent to agree to and comply with the terms below.
• Instructions and time choices will be emailed within 10 business days after receipt of your payment.
• Kim does not work on weekends or holidays **Emergencies are the exception**
• Kim is limited in the number of appointments she is able to fill. Please note that completion of this form will not guarantee an appointment. Each case will be reviewed by Kim prior to confirmation.

During the time that Kim is doing the work, you will be asked to lie in a comfortable position.

Please check (V) any of the following conditions below that currently affect you or that you have experienced in the last 5 years.

*If you have been diagnosed with a chronic disease such as heart disease, cancer, or diabetes please be under the care of a physician. 

The above information is accurate and true to the best of my knowledge, I acknowledge and understand, that Kim M. U-Ming's techniques, recommendations, or suggestions are not meant to replace the examination, attention, advice or treatment from my health care professional, and that my health is ultimately my own decision. I take responsibility for alerting my practitioner to any physical mental, or emotional changes that occur with my health.

I freely acknowledge that I am fully aware that Kim M. U-Ming is not a medical doctor, or any other kind of medical practitioner and has not represented herself in any way as possessing any medical expertise or medical training whatsoever and she has not diagnosed disease, manipulated bones, or prescribed any treatment, medication, or substance for me with respect to any injury, ailment or disease that I may possess. I fully understand that all and any optionally available information is not intended to replace advice from my health care professional. I have not been cajoled, coerced, threatened or persuaded by Kim M. U-Ming to undergo or participate in any form of treatment or to partake of any medication or substance, and that I freely acknowledge that any unorthodox or unusual methods or applications that may be used is with my full awareness and I hereby give Kim M. U-Ming my full consent to provide me with her expertise and I acknowledge that this is my decision only.

I, the undersigned, for myself, my heirs, successors, executors, administrators and assignees, hereby release and forever discharge Kim M. U-Ming, her associates, their heirs, and her heirs, successors, executors, administrators and assignees, from any and all actions, causes of action, claims and demands for or by reason of any damage, loss or injury, to person and property which heretofore has been or hereafter may be sustained in consequence of attending an appointment with Kim M. U-Ming or for any form of treatment which I, or anyone on my behalf, may receive, in an attempt to cause temporary or permanent relief from any ailment or disease I may or will possess.

I also understand that in the occurrence of cancelled, missed appointments, or being 15 minutes late for any reason, the fee is non-refundable and the session is cancelled. I understand that rescheduling must be done at least 48 hours before the original session.