The Body Centered Consent

I hereby apply to work with Justin Farrell. I understand my sessions with Justin may include techniques from CranioSacral Therapy, Somatic Experiencing and/or Rolfing Structural Integration. I further understand that the treatment is body based and involves therapeutic touch. If I experience any sensations beyond those I’m able to handle, I will immediately inform the therapist so that he may make adjustments as needed. I have the right to refuse or terminate the treatment at all times, refuse manual techniques, or any other intervention. I understand that bodywork practitioners do not diagnose illness, disease or any physical or mental disorder, nor do they prescribe medical treatment, pharmaceuticals or perform spinal thrust manipulations. I acknowledge that therapeutic bodywork is not a substitute for medical examination or diagnosis and that it is recommended that I see a primary health care provider for that service.

 

I understand that if I arrive late, my session will end at the originally scheduled time in order not to penalize the client following me and there will be no adjustment of my fee. I understand that the cancellation policy for sessions is 24-hour notice. I agree to keep all sessions I have scheduled and I agree to remit full payment for any appointments canceled without adequate cancellation notice.

 

I have read the above informed consent and cancellation policy, understand, and agree to it.