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Practitioner: Vanessa Ainslie, Bodywork, Energy Healing, Therapeutic Dialog
Service:60 Minute Session add another, change


By Scheduling your session you are consenting to the following terms.

 

I hereby authorize Vanessa Ainslie to perform the following procedures and services:

 

Integrative Bodywork:

The use of physical and energetic techniques including, but not limited to, therapeutic massage, cranio-sacral therapy and sound healing.

 

Subtle Energy Work/Spiritual Ceremony:

The use of subtle energy techniques including, but not limited to, chakra balancing, journey work, energy extraction, cord-cutting, spirit release work, soul and essence retrieval, compassionate deposession, and energy clearing, curse unraveling.

 

Coaching/Mentorship/Intuitive Readings:

The discussion of goals, life situations, behavior modifications, energetic techniques, and personal history and perspectives for the purpose of self-understanding, self-empowerment, and the improvement of the quality of life.

 

We can also discuss the creation and facilitation of personal rituals/ceremonies.

These sessions are not a substitution for mental health counseling.

 

Herbal Recommendations:

The discussion and recommendation of herbal teas, tinctures, baths, oils and various other methods of application.

 

Sensitivities and allergies will be discussed and are YOUR responsibility to mention if we do not cover something relevant to your condition. You may experience gastric upset or temporary discomfort when you first begin taking herbs. An adjustment period is common for any new form of supplement or medication.

 

By scheduling a session with Vanessa Ainslie you affirm that you have read the following statements indicating understanding and consent of the conditions presented.

 

A printed copy can be made available for you to sign and will be kept on file:

 

I understand that Vanessa Ainslie is not a therapist or a licensed counselor, and that this work is not therapy and is not intended to diagnose, treat, or cure disease or mental illness. I understand that this work is not a substitute for medical treatment or therapy. I understand that this work is transformative/catalytic and that I am responsible for acquiring the mental health support, aftercare, or integration work needed to process this work, as recommended by Vanessa Ainslie or according to my own self-assessment and judgment.

 

I will not hold Vanessa Ainslie legally responsible for any physical, emotional, mental, circumstantial, or energetic effects that may occur in connection with my participation in sessions. I recognize and agree that I am fully responsible for my wellbeing during my session, which includes disclosing any concerns and/or questions I may have before, during, or following my session.

 

I understand that Vanessa Ainslie does not guarantee any specific result from treatment courses, and that she is unable to predict or control what my outcome may be. In receiving treatment I am willing to assume the risk of this uncertainty.

 

I understand that during a course of treatment some symptoms or circumstances may be “activated” or exacerbated. I may experience new symptoms as layers of work come up for processing, and I may experience an exacerbation of existing symptoms as the work progresses. I understand that usually these states are temporary and resolve with a completion of the work, but that no guarantees can be given about their resolution. With this knowledge, I voluntarily consent to the above procedures and services, realizing that no guarantees have been given to me by Vanessa Ainslie regarding the cure or improvement of my conditions. I hereby release Vanessa Ainslie from any and all liability which may occur in connection with the above mentioned procedures and services.

 

I understand that I am free to withdraw my consent and to discontinue participating in these procedures and services at any time; if I do so I commit to notifying Vanessa Ainslie directly via verbal notification.

 

I understand that Vanessa Ainslie may terminate our professional relationship, and in the event of termination will provide referrals for my continued care.



Cancellations/Rescheduling: A minimum of 24 hours notice is sufficient in an emergency or illness related situation. It is very difficult and almost always impossible for me to fill a spot with only 24 hours notice, because of this I ask that for all other needs you give me at least 48 hours notice so I may offer your spot to another client. The sooner you can let me know you cannot make it to an appointment the better.  

Late Arrival: I plan my day carefully to allow myself sufficient time between clients to prepare for my next session. Because of this, if you arrive late, your session will be shorter. I cannot go over the time we have allotted for your session as it affects the person coming in after you. If you arrive more than 15 minutes late to your scheduled appointment, I will reschedule you and you will be responsible for no-show fees.

Early Arrival: As I have stated above, I plan my day carefully and rely on the time I have between sessions to re-set, re-ground, and take care of any personal needs. I like to be completely prepared, present, and available for clients when they walk through the door. Because of this I request that you are exactly on time and never more than 5mins early.  

No-Show: If you have not contacted me and do not show up to your scheduled appointment, you will be charged 100% of session fee.  

Repeated Cancellations:  If you cancel/reschedule more than 2 times in a row (excluding medical or family emergency), you will be charged 50% of session fee regardless of 24hr cancellation window. If you cancel/reschedule more than 3 times in a row, I may refer you to another provider or end our professional relationship.   Thank you for your understanding.

 

For more information, please visit vanessaainslie.com
Date/time:Choose one of the openings below. (PST)
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