The privacy of your personal information is an important part of providing you with quality treatment. We understand the importance of protecting your personal information and are committed to collecting, using and disclosing your personal information responsibly. Our privacy protocol complies with privacy legislation and standards set out by the Government of Ontario. I understand that a confidential record will be kept of the Energy Healing services provided to me.
Privacy Notice: No information about any client will be discussed or shared with any third party without the written consent of the client or parent/guardian if the client is under 18.
The following information needs to be gathered in order for us to formulate a safe and effective treatment plan for you. Please feel free to ask any questions about the information being requested.
~ Download the PDF
~ Fill it in on your computer and email it to me, OR
Print it out and bring it with you at your first appointment.