By signing below you acknowledge:
1. I have stated all my known conditions and have answered questions honestly.
2. I certify that I have read and fully understood and completed this form to the best of my knowledge.
3. I understand that failure to disclose information requested above may result in adverse side effect(s) and therefore I accept full liability/responsibility for the information given.
4. I understand that the practitioner does not diagnose, prevent or treat illness, disease or any other physical or mental condition.
5. I understand that essential oils & aromatherapy are complementary, holistic therapy and that this protocol is not substiute for medical treatment or diagnosis.
6. I understand the following essential oil safety: I am not being advised to take essential oil products internally. I must keep all essential oil products out of the reach of children. Essential oils could be poisonous if swallowed. Essential oils must be stored in a cool, dark place. Essential oils may irritate the skin if not stored or used properly.
7. I fully undertand the above and consent to the Aromatherapy treatment to be carried out.