I will be wearing an N95 mask and I encourage you to do the same, due to the close contact. I will be wearing gloves in certain conditions or if requested. I will wash and sanitize my hands before each treatment.
I currently do not work in person, during the winter, due to COVID, Cold, Flu, RSV.
However, virtual visits are available and welcomed.
I work in group settings for:
I have specific group exercises for each category/sub-category.
I also offer virtual touch therapy via Zoom. I walk you through a guided visualization - e.g. "Now I'm going to put my hand on your shoulder." And I will be mirroring that. You have the visual component, as well as someone holding space for you, while hearing a calm voice.
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HOLD TO HEAL
Terms and Conditions:
GENERAL CONDUCT
• Hold To Heal is not a replacement for medical or mental care. Contact your medical or mental health provider for any symptoms or illnesses that are affecting you.
• Hold To Heal is not responsible for any physical or emotional afflictions arising from the session. If you are physically uncomfortable from the current position, please let practitioner know and we will change positions or stop. Also let practitioner know if you feel emotionally uncomfortable. Or for any other concerns.
• Private clients will fill out a consultation form before the first session takes place.
• The session will be terminated immediately, if client engages in illicit or sexually suggestive remarks, sexual advances, kissing on the lips, drinking or drug use and/or other inappropriate behavior. Client will be charged for the full session, if it’s terminated early, because of inappropriate behavior.
• Photography, video and audio recordings are strictly forbidden, unless written permission is given.
• Clothing: Shorts, tank tops, bathing suits are not allowed. Wear loose clothing, lounge wear, pajamas, etc. No clothing is to be removed during the session.
• No strong cologne, perfume or other scents are to be worn. Showering before a session is highly recommended. Hand washing before a session is mandatory.
• Sighing, crying, giggling, laughing can occur and are acceptable.
CANCELLATION POLICY
• A 24-hour notice is required. If you give less than 24 hour notice or a no-show, you will be responsible for a cancellation fee of $20.00. Fee must be paid within 30 days of cancellation.
• Hold To Heal reserves the right to cancel or reschedule appointments based upon weather, unforeseen circumstances, illness, etc. Session will be rescheduled within two weeks of the cancelled treatment.
• For same day appointments, please call within 90 minutes of the appointment, if you need to reschedule. If less than 90 minutes is given, $20.00 cancellation fee is charged.
Name _________________________________
Signature _________________________________
I UNDERSTAND AND AGREE TO THE FOLLOWING:
Touch therapy is not a substitute for medical or mental treatments. I am responsible for seeing the advice of a physician or mental health provider for any physical or mental ailments. I will disclose to practitioner all known medical conditions before the touch therapy sessions. I will keep the practitioner updated to any changes to my medical or mental status. I understand that there will be no liability on the part of Hold To Heal, if I fail to disclose new or updated medical or mental issues.
• I am at least 18 years old and I am booking an appointment for myself or someone else who is at least 18 years old. As an adult, I understand my responsibilities as well as the risks as described in the terms and conditions.
• If client is under 18 years of age, they must be accompanied by an adult.
• The adult must give permission for the touch therapy session, along with co-signing the consultation form.
• Hold To Heal is not responsible for any personal injury or property loss as a result of a touch therapy session. Practitioner has liability insurance and is responsible for their conduct and practice.
• Client treatment details will not be discussed with anyone other than the client, unless the client is not cognitively aware, then it will be discussed with caregiver.
• By signing the consultation form, clients are giving Hold To Heal permission to hold records and data concerning the person.
• All intake and session notes will be kept securely on file.
• Personal information will not be shared with another, unless the client gives written permission.
• Touch therapy is NOT sexual. Any inappropriate touching will result in immediate termination and will be charged the full amount of the session.
• Health etiquette is a must. Covering mouth and backing away, for coughing, sneezing or blowing nose. Showering before a session is highly recommended. Hand washing, teeth brushing, clean clothes before a session is mandatory.
• Hold To Heal reserves the right to deny service.
• Hold To Heal reserves the right to change Terms And Conditions. If so, a copy of the changes will be given to the client.
• I have read the above and agree to the statements.
Signature: _________________________________
Printed Name: _________________________________
Date: ___________________________
Copyright © 2022 Kolya Lynne Smith -
Hold To Heal - Touch Therapy - All Rights Reserved.
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