• Client Disclosure & Infromed Consent

    Colorado Natural Health Consumer Disclosure

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    Practitioner: Tiffany Kuhwede

     

     

  • Credentials

    Certified Peer and Family Support Professional (CPFS)
    Brain Synchronization Therapy Practitioner
    Reiki Master Teacher
    Recovery Coach
    Educator
    Bachelor of Science in Organizational and Strategic Communication
    Associate Degree in Health Information Technology & Medical Assisting

  • Services Offered

    Services may include:

    • Brain Synchronization Therapy
    • Reiki
    • Nervous system regulation education
    • Breathwork
    • Mindfulness practices
    • Polyvagal-informed wellness education
    • Stress reduction techniques
    • Recovery coaching
    • Wellness education

  • Important Information

    I am not licensed by the State of Colorado as a psychologist, physician, professional counselor, clinical social worker, marriage and family therapist, or other state-licensed health care professional.

    My services are intended to promote wellness, stress reduction, nervous system regulation, education, and personal growth.

    I do not:

    • diagnose disease
    • diagnose mental illness
    • practice psychotherapy
    • prescribe medications
    • recommend stopping medications or medical treatment

  • Disclaimer

    The services and practices provided by The Unbroken Journey are intended to support personal wellness, education, and holistic healing and are not intended to diagnose, treat, cure, or prevent any medical or mental health condition, nor are they intended to replace professional medical, psychological, psychiatric, or other licensed healthcare services. Clients are encouraged to consult with an appropriately licensed healthcare professional regarding any medical or mental health concerns.

    Clients are encouraged to maintain a relationship with their licensed medical and behavioral health providers and discuss any concerns regarding their health with those providers. This disclosure aligns with Colorado's requirements for complementary and alternative health-care practitioners.

  • CONTACT INFORMATION
    This study was approved by the Social Sciences Department. If you have questions or concerns about this study, you can get in touch with the Social Sciences Department Director at the email address director@example.com or by phone at 111-1111.

  • CONSENT & ACKNOWLEDGMENT

     

    I acknowledge that I have read and understand this disclosure.

    I understand these services are complementary wellness services and are not medical or mental health treatment.

     

     

  • Are you/ Is the client over the age of 18yrs?*
  • Date*
     / /
    2 digit month, 2 digit day, 4 digit year
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