EMBODIED COUNSELLING intake form

Name *

First Name

Last Name

By signing this form you agree to all the below *

Embodied Counselling is not psychotherapy or medical treatment I understand that any touch will be given only at my request and solely for my own benefit, education and support. I have stated all medical conditions that I am aware of, and I will update Morgan on any changes in my health status.

Yes I understand

CANCELLATION AND RESCHEDULING AGREEMENT

CANCELLATION POLICY - If you need to cancel your appointment this has to be done 3 days prior to session time for you to receive a refund. Cancellations or Rescheduling within the 24 hours prior to appointment time will incur a fee of $50 IN THE CASE OF YOUR PRACTITIONER RESCHEDULING YOUR SESSION - If for some reason your practitioner needs to reschedule your session a new time will be arranged and your payment will be carried over. In the case that your practitioner needs to reschedule and you are unable to find a new time that suits you both, your practitioner will refund your payment. Thank you for understanding and respecting my work by honouring this agreement. Do you agree to the cancellation and rescheduling agreement?

Yes I understand