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Our Services

Soundscape Harmony Intake Form

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Current health information required to be disclosed to the best of your ability.

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●      I understand that the modalities offered at Soundscape Harmony are complementary therapies not intended to replace any currently prescribed medical or mental health treatments as ordered by my physicians or other health care providers, nor any other medical care I may be advised to seek by them.

●      I acknowledge that these sessions are not a substitute for medical examination or diagnosis, and that it is my responsibility to consult a licensed medical practitioner for any physical or mental complaints I may have. ∙ I understand that I alone am responsible for informing my primary health care provider I am receiving these sessions and inquiring as to whether they may adversely affect my current health condition. ∙ I understand that practitioners at Soundscape Harmony does not diagnose illness, disease, or physical or mental disorders, nor do they prescribe medical treatments or pharmaceuticals, nor do practitioners make any specific claims regarding results from the sessions that I receive.

●      I have stated all medical conditions that I am aware of and I acknowledge that it is my responsibility to update my practitioner of any changes to my health status.

●      I agree to refrain from receiving services while in the contagious stage of any illness or condition. I understand that the therapist will inform me of any contagious condition they may have and allow me the right to refuse treatment without penalty.

●      I understand that if my needs extend beyond the framework, abilities or scope of practice of my practitioner, they will offer me referrals for a more qualified or appropriate professional to address my needs. ∙ I and my representative(s) agree to fully release and hold harmless The Healing Sanctuary and practitioners therein from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s).

●      I understand that my consent to receive any service at Soundscape Harmony enables my consent for receiving any additional services we offer now or in the future

 

We understand that unanticipated events happen occasionally in everyone’s life. In our desire to be effective and fair to all clients, the following policies are honored:

Cancellation

We ask for 24-hour notice in advance when cancelling an appointment. This allows the opportunity for someone else to schedule an appointment. If you are unable to give us 24-hour notice you will be charged a fee equal to 50% of your appointment cost. This amount must be paid at or prior to your next scheduled appointment. We do understand that emergencies arise from time to time, so consideration will be made on a case-by-case basis to accommodate for these instances without penalty.

No-shows

If you forget or consciously choose to forgo your appointment for whatever reason, you will be considered a “no-show” and will be charged a fee equal to 50% of the cost of your missed appointment. This amount must be paid at or prior to your next scheduled appointment.

Tardiness: If you arrive late, your session may be shortened in order to accommodate appointments following yours.  Depending upon how late you arrive, your practitioner will determine if there is enough time remaining to start a treatment. Regardless of the length of the treatment actually given, you will be responsible for the full session. Out of respect and consideration for your practitioner and other clients, please plan accordingly and make every effort be on time.

Illness: Please cancel your appointment as soon as you are aware of an infectious or contagious condition. If it is within the 24-hour notice period, the cancellation fee will be waived.

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