|
Informed Consent
WE CONSIDER ENTERING INTO HEALING ALLIANCE
WITH EACH OTHER A SACRED TRUST THAT BINDS BOTH PARTIES. RESPONSIBILITY
FOR YOUR LIFE IS ALWAYS WITH YOU, EVEN WHILE WE ARE INTIMATELY
EXPLORING IT TOGETHER. EVERY THING WE DO WILL BE WITH YOUR FULL
AWARENESS, YOUR APPROVAL AND YOUR SENSE OF FEELING SAFE AND RIGHT
ABOUT IT. YOU ARE INVITED AND ENCOURAGED AT ALL TIMES TO DISCUSS
OPENLY AND FREELY WITH THE HEALER ANY QUESTION OR CONCERN YOU
MIGHT HAVE ABOUT THE PROCESS. YOU RETAIN THE RIGHT TO TERMINATE
COUNSELING AT ANY POINT.
CONFIDENTIALITY: All information concerning
you, even the fact that you choose King's Oracle services, will
not be shared with other persons without your permission. However,
as professionals, it is our responsibility to seek supervision
with other consolers or healers. Through this you consent and
give your permission for us to share aspects of our time together
with appropriate consultants, who are likewise sworn to confidentiality.
Also, if there is reason for us to believe that you are likely
to do physical harm to yourself or another person, then it is
the healer's responsibility to notify the appropriate authorities.
CANCELED APPOINTMENTS: Once a specific
meeting time is agreed upon, you are responsible for it until
we choose to terminate. Cancellations are not workable, since
that is your slot and filling it with another appointment would
make it unavailable to you. It is possible to negotiate alternate
times when circumstances change.
OTHER SERVICES: We are only one
option on the road to wellness. We will assist you in seeking
other professional help as the need may be. It is desirable that
you check out other practitioners and seek medical intervention
when indicated. Referrals could be appropriate before, during
or after our time together.
CONSENT: I have read the preceding
and I choose to enter into a healing relationship with King's
Oracle healer. I understand that my consenting to this form does
not commit me to a binding contract, but indicates my willingness
and an informed consent to begin a healing process with King's
Oracle.
* YES ... I GIVE
MY CONSENT Please Initial
*
Please fill out this following information form. Required fields
are marked with an asterisk(*). Once
the form has been completed, click the "Continue" button
at the bottom of the page to go on to the Service Order page.
|