SOPHIA ROSE ~ CATALYST RESOURCES
AGREEMENT AND RELEASE FORM
I want this to be a satisfying and comfortable experience for you. Please read and sign this form- it is for your protection and mine, and is especially necessary if I am never meeting you in person.
Sophia Rose offers counseling, coaching and healing services to address physical, mental, emotional and spiritual issues, as well as lifestyle and behavior changes. I do not treat mental or emotional "illness"; I only provide support, resources and education. My services can enhance whatever you are doing under the care of a primary medical practitioner or psychotherapist.
I expect you to provide full disclosure as to mental health and medical history, prescribed medication, alcohol and drug usage, childhood abuse background and suicidal tendencies, as applicable.
Although I utilize some unconventional means for obtaining information about a person's health status and needs, and provide general suggestions about diet, wellness and lifestyle, I do not claim to diagnose, prescribe, cure or prevent disease. It is the client's responsibility to use this information in a prudent way and to have it be an adjunct to any required medical care or treatment, from an appropriate medical practitioner.
If you participate in hypnosis or regression sessions, you agree to take full responsibility for the interpretation of the content experienced. What I suggest to you is only my opinion, which you must weigh with all the other information you have regarding memories of possibly traumatic events.
Any intuitive information that comes through is highly subjective and influenced by numerous variables. It is not an exact science. I don't claim to predict the future or give you authoritative advice on specific actions you should take. You agree to take full responsibility for how you interpret and apply this information in your life, and the subsequent consequences.
Therefore, you agree to take no legal action against me for any affects our sessions have on you - physically, emotionally, psychologically, socially, financially or legally. You also agree to not incite any other individual to take legal action against me, such as relatives or a spouse. Just as the content of our sessions is held in strict confidentiality by me, I suggest that you reserve sharing the details of our work together for only your closest, trustworthy, supportive confidantes.
If you cancel an appointment for any reason, you will not be charged if you reschedule within one week.
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