Please fill out the form below prior to your appointment with Karen Name * First Name Last Name Email * Please share your reason for seeking Craniosacral Therapy/Energetic Healing for yourself or your child. * Have you or your child worked with a Craniosacral Therapist/Energetic Healer before? * Yes No Please describe any physical pain, symptoms, or illness you or your child may have today prior to this session. * Is there a treatment request or a prescription from a pediatrician or other physician, for you or your child? * How would you describe your or your child's current emotional state? * What is one positive goal you would like to achieve in our work together? * At A-Step-Ahead Healing, I know how important it is to take care of your body, mind, and soul. That's why I offer Craniosacral appointments and Energetic Healing sessions to help you achieve a greater level of physical and mental well-being. However, I also understand that there are risks involved in any kind of bodywork, which is why I require all clients to sign a release of liability form before receiving my services. Our release of liability form is designed to protect both you and me. By signing the form, you acknowledge and accept the risks associated with craniosacral therapy. You also agree to hold harmless A-Step-Ahead Healing and its employees from any claims, damages, or injuries that may result from your appointment. In addition, I want to make it clear that I do not work on children without a parent or guardian present. I believe that it is important for parents to be involved in their child's healing process and to understand the techniques that I use. I also want to ensure the safety and comfort of all of my clients, especially those who may be more vulnerable. At A-Step-Ahead Healing, I am committed to providing high-quality, safe, and effective services to all of my clients. If you have any questions or concerns about our release of liability form or our policies regarding children, please do not hesitate to contact me. I am here to support you on your spiritual journey and help you achieve optimal health and wellness. By Signing below, you are acknowledging that you have read and understand this release of liability. Releasing A-Step-Ahead Healing of any wrongdoing. * Please type your name to acknowledge your understanding Thank you!
