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PLEASE READ THE FOLLOWING DISCLAIMER Updated Effective date May 1st, 2023 I have been advised by Mind Body Soul Wellness and I give my full consent to receiving sessions with them. I understand that results vary and that the above named entity may not guarantee results. Some of the techniques adopted during my consultation may initially engage me in some of the emotions and symptoms of the issues that I am addressing and it is vitally important that I continue to integrate (or do whatever I am instructed to do by Mind Body Soul Wellness) until I am fully calm and clear of the emotions and symptoms. I am aware that for a deeper level of results it is important to acknowledge that it will require commitment of my time and efforts. The amount of investment will reflect the results I receive and I cannot hold Mind Body Soul Wellness wholly responsible for lack of results or outcomes. Working with Mind Body Soul Wellness is not a replacement for medical treatment, psychological or psychiatric services. I also understand that Mind Body Soul Wellness does not treat, prescribe or diagnose any condition. It is at my discretion whether to inform all other health practitioners that I work with of my sessions with Mind Body Soul Wellness. I am aware and understand that in some cases it may be helpful for Mind Body Soul Wellness to respectfully apply bodywork techniques as per the Polarity Therapy Body Work protocol. Mind Body Soul Wellness will always ask for my consent before doing this. I have agreed to participate in each session to the best of my ability. I have been advised that I am free to terminate any or all sessions at any time. Any sessions that have been prepaid for and not utilised even after being reminded of by Mind Body Soul Wellness, are forfeited after the nominated time period as stated in the package plan or individual session time frame (1 month). Mind Body Soul Wellness will remind me to reschedule a maximum of two times, after the second reminder, if a lapse in time of over a month or more occurs, this will result in any remaining sessions to expire and be non-usable, therefore, no refund will be offered. If a change of mind, after a period of more than one month has transpired, it will result in all fees being non-refundable. If I reschedule my sessions more than twice, on the third reschedule my session will be cancelled, (unless in the case of unforeseen emergencies). No refunds are offered for non-reschedules where the client has failed to inform Mind Body Soul Wellness of no intention to return or a change of mind whereby Mind Body Soul Wellness has provided sufficient amount of communication to remind of a reschedule and how this can be done. I understand that Mind Body Soul Wellness will advise of the number of sessions required and time-frame to be undertaken, this is not a final number and it is possible that I may require more, however am under no obligation to continue working with Mind Body Soul Wellness once a package of sessions has transpired or I have undergone the recommended sessions. Mind Body Soul Wellness is a results and outcomes based service, this thereby means it will require investment of your own time, money and resources to get required outcomes. Therefore, there are no ‘quick fixes’ or shortcuts to long lasting permanent transformation. The minimum number of sessions recommended is indicative and may require more as each individual responds differently to the processes. If a payment plan for mentoring, coaching, breathwork and energy healing services have been made and payment installment fails, these services will not progress until successful payment of that installment of that payment has been made. I have accurately provided background information as requested by Mind Body Soul Wellness. I understand that confidentiality regarding my sessions will be honored between Mind Body Soul Wellness and I, unless she determines that I may be a danger to myself and/or others, then we will be required to notify the relevant authorities. I give permission for Mind Body Soul Wellness to keep notes on our sessions on the understanding that they will be kept confidential at all times and only accessible by them. If I am to be late for appointments this will directly affect my session time and reduce the amount of time spent in my session with Mind Body Soul Wellness. It is my responsibility to notify Mind Body Soul Wellness if I am going to be late. If I miss an appointment without valid reason, due to the extensive reminder system provided, that appointment will be cancelled and no refund will be provided.

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