ROOTED HALO WELLNESS

Eligibility and Authority

By completing the signing this form, I confirm that I am at least 18 years of age OR that I am the legal parent or gaurdian authorized to consent on behalf of the minor receiving services. 

Nature of Services / Scope of Practice
I understand that Rooted Halo Wellness provides holistic, educational, and intuitive wellness services, which may include but are not limited to:

Nutrition education and food guidance
Lifestyle and wellness coaching
Stress reduction and nervous system support
Mindfulness, meditation, and breathwork guidance
Energy awareness, intuitive insight, and emotional support
General wellness education inspired by holistic and integrative health principles

I acknowledge that these services are non-medical, non-diagnostic, and non-therapeutic in nature.

I understand that the practitioner is not a medical doctor, registered dietitian, licensed therapist, psychologist, or healthcare provider, and does not diagnose, treat, cure, or prevent any disease or medical condition.

 

No Medical Advice / Not a Substitute for Healthcare
I understand that:

These services do not replace medical care, mental health care, or professional medical advice
I am encouraged to consult with my physician or qualified healthcare provider regarding any medical concerns
I should not discontinue prescribed medications or treatments without consulting my healthcare provider
I take full responsibility for my health decisions 

No Guaranteed Outcomes
I understand and agree that:

There are no guarantees, promises, or warranties regarding outcomes or results
Healing, wellness, and personal growth vary greatly by individual
Any improvements or changes experienced are not guaranteed
I acknowledge that results depend on many factors including personal history, lifestyle, consistency, and individual circumstances.

Emotional Awareness & Release
I understand that wellness work may bring awareness to emotions, memories, or patterns. I acknowledge that:

Emotional responses are a normal part of self-awareness work
I am responsible for seeking licensed mental health support if needed
Rooted Halo Wellness does not provide psychotherapy or mental health treatment.

Confidentiality
All personal information shared during sessions is treated as confidential, except where disclosure is required by law (e.g., risk of harm to self or others).

Payment Policy

All services provided by Rooted Halo Wellness are offered on a prepaid basis. Full payment is required in advance of all services, sessions, programs, or packages. Services will not be rendered until payment has been received and processed in full. 

By enrolling in services, the client understands and agrees that all payments are non-refundable unless otherwise stated in writing. Payment confirms the client's commitment to the agreed-upon services and secures their scheduled time. 

Failure to submit payment prior to services may result in cancellation or rescheduling of the session at the discretion of Rooted Halo Wellness.  

Scheduling, Cancellations, & Rescheduling

Clients are responsible for scheduling their sessions within the agreed service timeframe. All appointments are scheduled in advance and are reserved specifically for the client. 

A minimum of 48 hours' notice is required to cancel or reschedule any appointment. Cancellations or reschedule requests made with less than 48 hours' notice may result in the session being forfeited and counted as used. 

Missed appointments ("no shows") & being more than 20 minutes late, will be considered a completed session and are not eligible for rescheduling or refund. 

Rooted Halo Wellness reserves the right to reschedule sessions when necessary due to illness, emergency, or unforeseen circumstances, with reasonable notice provided to the client. 

Limitation of Liability
I agree to release and hold harmless Rooted Halo Wellness, its owner, and representatives from any and all claims, liabilities, or damages arising from participation in services, to the fullest extent permitted by law.

Acknowledgment, Consent & Final Agreement

I confirm that:

I have read and understand this agreement
I have had the opportunity to ask questions
I voluntarily consent to receive services

By signing this form, I acknowledge that I have read, understand, and voluntarily agree to all the terms, policies, disclosures, and conditions outlined in each section above.