Medical/Liability Waiver *
I am fully aware that the services I wish to receive are those of a holistic nature and do not serve as a substitute for professional medical advice, examination, diagnosis or treatment. I understand the information I have been given to be the truth and consent to the treatment of Anatomy in Motion and will inform Frances of any changes to my medical status if they have changed since completing this online form. I understand that if I have been untruthful with my details or have failed to give enough relevant information any treatment could be adversely affected. Frances does not claim to cure or to diagnose any medical condition in the same regard as a physician, as her opinion is that of a holistic, complementary and alternative therapist and her professional opinions, advice, examinations and recommendations do not constitute the medical advice of a doctor/physician.
Late Arrival Policy *
I request that you arrive 10 minutes prior to your session to allow time to fill out any required paperwork and 5 minutes prior to any follow-up sessions. I understand that issues can arise that may cause you to be late for your AiM sessions. However, I ask that you contact me if this ever occurs so I can do my best to accommodate you.
Cancellation Policy *
I respectfully ask that you provide me with a 24 hour notice of any schedule changes or cancellation requests. When you cancel or miss your appointment without providing a 24 hour notice I am unable to fill that appointment time. For this reason, you will be charged 50% of the service fee for the first missed session and 100% of the service fee for each session after that. I understand that emergencies can arise and illnesses do occur at inopportune times. If you have a fever, a known infection, or have experienced vomiting or diarrhoea within 24 hours prior to your appointment time, I request that you cancel your session. I will do my best to give advanced notice if I need to cancel due to bad weather and ask you do the same. Please do not risk your own safety trying to make your appointment. Late cancellation due to emergency, illness, or inclement weather will generally not result in any missed session charges, but this is determined on a case-by-case basis.
Declaration of consent: *
I have completed this form to the best of my ability and knowledge and agree to inform Frances if any of the above information changes at any time.