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Medical Conditions
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I understand that massage is not a replacement for medical care and that no medical diagnosis will be made. Because massage and bodywork therapy may be contraindicated due to certain medical conditions, I affirm that I have informed the therapist of all known medical conditions and will keep the therapist updated as to any changes in my medical condition going forward. If I experience any pain or discomfort during the session, I will immediately inform the therapist so that the pressure and/or manipulations, draping or environment may be adjusted to my level of comfort. *
Medical Conditions specific for Biomagnetism Scan
I accept and give my consent to Emily To, Biomagnetism practitioner, to scan me using the Biomagnetic Pair Scan technique. I have been informed that this is not allopathic medicine and that after the scan I may experience the following symptoms: increased urination, fatigue, weakness, low grade fever, headache, dizziness, diarrhea, clumsiness, muscular pain and sleepiness. All of these should be mild and shouldn't last more than 48 to 72 hours after the Biomagnetic Pair Scan has been done. If it last longer or is more severe, please call for guidance and support. *
I understand that I have not been given any guarantees or promises regarding the results of the scan I am about to undergo nor that I will be given a diagnosis, a change or alternation of the prescription medications I am currently taking and that the scan is being done only to stabilize, normalize, and balance the body's bioelectric system for homeostatic purposes. *
Legal Information
CLIENT BEHAVIOR - Any illicit or sexually suggestive comments or actions made by me will result in immediate termination of the session and I am responsible for full payment. *
24 HOUR CANCELLATION - Should I cancel or miss an appointment with less than 24 hours notice, I authorize Body Compass LLC to charge my VISA/MC/Amex/Discover Card or checking account for the 50% of the session fee. *
LATE POLICY - I will arrive to my appointment about 10 minutes early. If I am late, I will call or text (808) 785-9185. Appointments that are 15 minutes or more late will be forfeited and charged 50% the amount of the treatment. *
E-MAIL POLICY - We will use your e-mail address for appointment reminders, promotions and news from Body Compass LLC. Your privacy is important to us. We will not sell, rent, or give your name or address to anyone. To unsubscribe, or to receive less or more information, you can call, or e-mail Body Compass LLC at anytime. *
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