_ Complementary and Alternative Health
Care Client Bill of
RightsThe
following information is provided to you, as required by Minnesota Law.
Please feel free to ask for clarification of this information if needed.
1. Services Provided by
Theresa A. May & Heaven on Earth Healing
Holistic Practitioner, Coach, Consultant and Teacher in Mind Body Medicine
Appointments on: Tuesdays, Thursdays & Saturdays
The Compass Center for Healing
116 E. Chestnut Street
Stillwater, MN. 55082
Appointments on: Mondays, Wednesdays, Fridays
The Healing Loft
2112 Broadway St. NE
Minneapolis, MN 55413
Cell: 612-345-1537
Website: www.heavenonearthhealing.com
Email: theresa@heavenonearthhealing,com OR t.may64@gmail.com
2. Education / Certification
Master Hypnotherapy
Master Practitioner of Humanistic Neuro-linguistic Psychology and Neuro Linguistic Programming
Therapeutic Coach
Reiki master/teacher
Qigong healer, Spring Forest Qigong level 4 & completed the SFQ Guide Program
Asian Bodywork, Shiatsu Anma, practitioner of Traditional Chinese Medicine
Teacher of Tai Chi Chih and Qigong Meditation
*The state of Minnesota and AOBTA approved professional training program for Asian Bodywork Therapists and Traditional Chinese Medicine. Minnesota does not currently offer state licensing requirements for Asian Bodyworkers.
3. Mission: “Supporting the evolution of life through personal transformation”
“Our passion is in working with individuals and organizations to improve our world through education, inspiration and personal transformation. We intend to offer healing and personal growth to receptive audiences through private sessions, classes, workshops, retreats, in-services to professionals, wellness consulting and wellness program development to organizations.”
“As a therapist, teacher and life long learner I have been privileged to witness profound transformations. Through these experiences I’ve discovered the key elements that are necessary for deep healing to occur. By applying the wisdom of eastern healing arts with progressive non-conventional talk therapies one can truly experience profound changes for their whole being, body mind and spirit.”
4. Mentorship: I consult with other professionals within my scope of practice as needed.
5. As a Client you have the right to contact me with questions, concerns and complaints.
6. The State of Minnesota has not adopted any educational and training standards for unlicensed complimentary & alternative health care practitioners. This statement of credentials is for information purposes only. Under MN. Law, unlicensed complimentary and alternative healthcare practitioners may not provide a medical diagnosis or recommend discontinuance of medically prescribed treatments. If a client desires diagnosis from a licensed physician, chiropractor, or acupuncture practitioner, or services from a physician, chiropractor, nurse, osteopath, physical therapist, dietitian, nutritionist, athletic trainer, or any type of health care provider, the client may seek such services at any time.” You, as complementary and alternative health care client have the right to file a complaint. To the office of: Minnesota Department of Health, Health Occupations Program,
Susan Winkelman, P.O. Box 64975, St. Paul MN. 55164 Phone 651-282-6366.
Holistic Services for Individual Therapy
T.L.C. Transformational Life Coaching:
Short-term solution based therapy and coaching, that makes it easier and more comfortable to heal the past become more resourceful in the present and approach your desired future more effortlessly. The main focus is on your desired outcome and helping you arrive there. There is also a great learning component that gives you the latest research to greater understanding of your mind. How your conscious and sub/unconscious mind functions and how your memories, values and beliefs effect your emotions and behaviors in supportive and unsupportive ways. If you have undesirable thoughts, emotions, behaviors, habits, addictions, phobias, psycho-somatic conditions ( Physical conditions that are not affected by medication or herbal remedies ) or emotional pain from your past or if you have confusion about what to do next in your life….. then this work will help you reach your desired outcome with amazing ease.
In office & over the phone consulting & coaching
Qigong & Reiki Energy Healing:
In Office or by Long Distance Healing the possibilities are limitless. In person the practitioner transmits electro-magnetic waves that resonate to the level that restores cells back to health. Energy medicine is message healing, information healing. People recover more fully and sooner from surgeries or bone fractures, fatigue, anxiety, insomnia, carpal tunnel, bursitis, sprains, acute or chronic pain, blood pressure, thyroid conditions, digestive and elimination issues, dental work, infections, immune system imbalances, degenerative diseases, arthritis and cancer etc. Energy medicine can be used for any physical, emotional, mental and spiritual conditions or concerns. Energy medicine is now accepted as a legitimate healing modality in many hospitals and clinics in the United States though for centuries it has been and still is a healing therapy by many cultures around the world. Every language of every culture has their own name for this type of healing work, but they all utilize the same transference of healing information that comes from the same Creator or Non-Local Quantum domain. (terms come from religious and scientific communities respectively) Healing energy can be passed through touch and through long distances. The effects can be subtle or profound. Some clients have noticed the benefits from just one session. For others the conditions gradually improve with each session. Visit www.heavenonearthhealing.com for listings of testimonials from clients, and for more scientific information, IONS Institute for Noetic Sciences www.noetic.org. Energy medicine is safe for anyone of any age or with any condition. My training background is in: Qigong, Reiki, and Reconnective healing.
(There is ongoing research studies being done on the efficacy of energy transmission all over the U.S., i.e. Mayo Clinic in Rochester MN is studying the effects of Qigong. And IONS, Institute Of Noetic Sciences www.noetic.org and www.shiftinaction.com has an extensive archive of research reports) Ask for a hand out of research outcomes here at Heaven on Earth Healing Arts.
In office & over the phone healing or L.D.H. Long Distance Healing
Shiatsu - Asian Bodywork Therapy:
Where ever your present health status is shiatsu can always benefit. Shiatsu-Asian bodywork restores the body’s own ability to renew itself, harmonizing the internal forces that support healthy-functioning organs. Shiatsu moves the lethargic or stagnant, subdues the excessive and nourishes the depleted. Shiatsu helps remind the body to create balance and peace within. Asian bodywork is for everyone who needs to address imbalance from acute to chronic medical conditions or for those of you who just need to undo the stress of everyday and need self care time for rejuvenating and maintaining great health…. that covers just about everyone! I do various forms of Shiatsu; Namikoshi, Zen, Anma Shiatsu, Tuina, Jin shin do a very gentle holding points energy/bodywork, Ampuku Chinese stomach massage, Foot Reflexology, Sooji Hand Therapy, Guasha deep rubbing dispersing technique, Cupping dispersing technique that pulls toxins out of the body and Moxi-bustion burning herbs over specific meridian points for warming & tonifying the body. All these therapies are based on Traditional Chinese Medicine or TCM. Tongue and pulse diagnosis are a part of most treatments. They are both considered bodywork and energy work because they treat the meridians.
In office or on location
What You Can Expect...
From Transformational Life Coaching Short-term solution based therapy and coaching, that makes it easier and more comfortable to heal the past become more resourceful in the present and approach your desired future more effortlessly. During your 1st visit we will go through the orientation of how your brain and mind works, how information gets stored and how emotions and behaviors are responses stemming from present and past strategies or programmed beliefs and values. We will also discuss and set up communication of the conscious / sub conscious and unconscious mind. Your 2nd visit we will run through a 4 step process that will help you get very clear about the direction you want to move into. The 3rd visit, after reviewing the previous process we will then unveil the root of the presenting issue and begin doing the change work process. During your first and second visit you should allow for up to one hour. The third visit you should allow for up to 1 ½ to 2 hours for the session. NLP and Hypnosis are therapies that do not stop midstream of the change-work process, this allows for you and I to respond to golden opportunities for learning and growing and finishing a piece of change-work. You can expect to learn and grow in ways that you have never thought of. Determining how many sessions you need really depends on each person’s issues and how motivated you are to make the changes. I have had clients also experience the following: more energy and mental clarity, healing crisis; where the body responds to the major shift in consciousness for a few days, quantum synchronicity where things just unexplainably fall into place.
Individual & Group Coaching Available. In office & over the phone consulting & coaching
From Shiatsu Asian Bodywork Therapy
Wear or bring comfortable loose fitting clothing (i.e.. sweat pants, shorts, long or short sleeve shirt). I will provide these if needed. You should avoid caffeine or eating full meals a half-hour before the session. For TCM tongue assessment purposes please do not brush your tongue in the morning. Never drink alcohol before or soon after your treatment. For one-hour appointments know that a TCM assessment (if needed) will take about 5 – 10 minutes of the beginning of your session. If assessment time takes longer you will be charged for additional minutes OR it will reduce your treatment time further.
Be aware that emotional releasing may occur because of the healing intended nature of these treatments and that this is very normal. Each process is as unique as each individual. If unprocessed memories or emotions come to the surface of your consciousness, please feel comfortable with sharing them with me, I am trained to facilitate these processes, however if you choose to seek a spiritual director or counselor you may do so at any time.
The effects of Shiatsu and other Asian bodywork differ with the intended treatment. In normal circumstances you can expect to feel more energy, vitality, mental clarity, and a relaxed peaceful state of mind and body. Some may experience a healing crisis, where symptoms may seem worse for 24 – 48 hours usually speaking just following the treatment.
Jin Shin Do, is a very gentle holding meridian points type of work but the energy shifts are typically very deep which often causes; unusual hunger, drop in body temperature, or tiredness. Rest assured that this will pass quickly and you will notice improvements. Honor your healing process and be gentle with yourself.
Moxa-bustion is used for tonifying a weak, frail or cold body. It consists of burning herbs over specific meridian points to strengthen those organ pathways the effects of mild blistering are rare but possible.
Cupping & Guasha is used to remove toxins, stagnant qi/chi or blood from old injuries, external pathogens that cause colds & flu. The side effects will most likely cause discoloration of the skin from 1 – 7 days.
From Qigong & Reiki Healing Therapy
Energy medicine responds similarity with Asian bodywork. You will experience more energy, mental clarity, and improvements to your health and well-being and it is also possible to experience a healing crisis which usually occurs right away or immediately following your session. Again take note that if this happens it is a very good sign that your condition will improve very quickly!
*This is a professional ethical practice. I will refer clients to other professionals when I feel
a condition requires a broader scope of knowledge than what I have been trained for. I also do consult with colleagues that are in similar professions to better assist my clients. You as the client may request referrals at any time. You also have the right to end a session early if you feel uncomfortable or unsafe in any way. Client records are kept. Confidentiality is protected and can not be shared unless I have written approval from you or otherwise provided by law.
Payment PolicyPayment upon receipt of products or services unless other wise mutually agreed upon.
I accept Cash, Check & Payment Plans are available.
***CANCELATION & NO SHOWS***
Clients will be billed at full priceof your reserved scheduled time. So please make every effort to keep your appointment or call within 24 to 48 hours in advance. Thank you for honoring our time and our services
Billing ClientsServices needing to be billed to third party payers will be charged $1.75 per minute with additional charges after the first 30 days.
***Discounted Fees for Same Day Pay Clients in Office Appointments***
T.L.C. Transformational Life Coaching, Hypnosis, Neuro-Linguistic Programming 60 minute therapy sessions $75
Packages available
Asian Bodywork , Energy Healing, Foot Reflexology, Sooji hand therapy, Ampuku Stomach Massage 15 minute appointments $20
30 minute appointments $40
45 minute appointments $60
60 minute appointments $75
75 minute appointments $95
90 minute appointments $117
2 hour appointments $160
TCM Traditional Chinese Medical Assessment & Energy Assessment 30 minutes $40
Moxa-bustion, Cupping, Guasha, Ear Candling
30 minutes $40
Packages available for in office appointments
In Home Shiatsu Bodywork/ Massage
60 minutes $85
Plus surcharges
.50 per minute of driving time plus fuel expense
In Home Group Rate
Must have a minimum of 4 one hour appointments committed
Schedule: family, friends & neighbors in your home
60 minutes $80
MN State Sales Tax is added in your Bodywork & Energy healing appointments
Price Changes will be given proper notice before your next visit.
The State of Minnesota states:
You have the right:to complete and current information concerning the practitioner’s assessment and recommended service. Expect courteous treatment and to be free of verbal, physical or sexual abuse by the practitioner. Access to records and written information from records in accordance to sec. 144.335 To be informed that there are other health care services available in the community and can be found on community boards in stores, or newspapers and the yellow pages. To choose freely among available practitioners at any time with in the limits of health insurance, medical assistance or other provider services. To refuse services or treatment unless otherwise provided by law. To assert your rights without retaliation. The practitioner also has the right to be free from verbal, physical or sexual abuse And can end the session and charge normal fee for that appointment time.
Appointment Office Hours Please call first to schedule your appointment time.
Cut on this dotted line and retain the above information for your records
This portion is for your file
I_____________________________ have received and read the complementary & alternative health care client bill of rights. And, I have been informed on what to expect during and after I receive Asian Bodywork, Qigong/Reiki healing, Transformational Life Coaching, NLP, and Hypnotherapy and understand that this holistic therapy is in no way intended to replace conventional allopathic medicine. Today’s DATE__________
Please feel free to ask for clarification of this information if needed.
1. Services Provided by
Theresa A. May & Heaven on Earth Healing
Holistic Practitioner, Coach, Consultant and Teacher in Mind Body Medicine
Appointments on: Tuesdays, Thursdays & Saturdays
The Compass Center for Healing
116 E. Chestnut Street
Stillwater, MN. 55082
Appointments on: Mondays, Wednesdays, Fridays
The Healing Loft
2112 Broadway St. NE
Minneapolis, MN 55413
Cell: 612-345-1537
Website: www.heavenonearthhealing.com
Email: theresa@heavenonearthhealing,com OR t.may64@gmail.com
2. Education / Certification
Master Hypnotherapy
Master Practitioner of Humanistic Neuro-linguistic Psychology and Neuro Linguistic Programming
Therapeutic Coach
Reiki master/teacher
Qigong healer, Spring Forest Qigong level 4 & completed the SFQ Guide Program
Asian Bodywork, Shiatsu Anma, practitioner of Traditional Chinese Medicine
Teacher of Tai Chi Chih and Qigong Meditation
*The state of Minnesota and AOBTA approved professional training program for Asian Bodywork Therapists and Traditional Chinese Medicine. Minnesota does not currently offer state licensing requirements for Asian Bodyworkers.
3. Mission: “Supporting the evolution of life through personal transformation”
“Our passion is in working with individuals and organizations to improve our world through education, inspiration and personal transformation. We intend to offer healing and personal growth to receptive audiences through private sessions, classes, workshops, retreats, in-services to professionals, wellness consulting and wellness program development to organizations.”
“As a therapist, teacher and life long learner I have been privileged to witness profound transformations. Through these experiences I’ve discovered the key elements that are necessary for deep healing to occur. By applying the wisdom of eastern healing arts with progressive non-conventional talk therapies one can truly experience profound changes for their whole being, body mind and spirit.”
4. Mentorship: I consult with other professionals within my scope of practice as needed.
5. As a Client you have the right to contact me with questions, concerns and complaints.
6. The State of Minnesota has not adopted any educational and training standards for unlicensed complimentary & alternative health care practitioners. This statement of credentials is for information purposes only. Under MN. Law, unlicensed complimentary and alternative healthcare practitioners may not provide a medical diagnosis or recommend discontinuance of medically prescribed treatments. If a client desires diagnosis from a licensed physician, chiropractor, or acupuncture practitioner, or services from a physician, chiropractor, nurse, osteopath, physical therapist, dietitian, nutritionist, athletic trainer, or any type of health care provider, the client may seek such services at any time.” You, as complementary and alternative health care client have the right to file a complaint. To the office of: Minnesota Department of Health, Health Occupations Program,
Susan Winkelman, P.O. Box 64975, St. Paul MN. 55164 Phone 651-282-6366.
Holistic Services for Individual Therapy
T.L.C. Transformational Life Coaching:
Short-term solution based therapy and coaching, that makes it easier and more comfortable to heal the past become more resourceful in the present and approach your desired future more effortlessly. The main focus is on your desired outcome and helping you arrive there. There is also a great learning component that gives you the latest research to greater understanding of your mind. How your conscious and sub/unconscious mind functions and how your memories, values and beliefs effect your emotions and behaviors in supportive and unsupportive ways. If you have undesirable thoughts, emotions, behaviors, habits, addictions, phobias, psycho-somatic conditions ( Physical conditions that are not affected by medication or herbal remedies ) or emotional pain from your past or if you have confusion about what to do next in your life….. then this work will help you reach your desired outcome with amazing ease.
In office & over the phone consulting & coaching
Qigong & Reiki Energy Healing:
In Office or by Long Distance Healing the possibilities are limitless. In person the practitioner transmits electro-magnetic waves that resonate to the level that restores cells back to health. Energy medicine is message healing, information healing. People recover more fully and sooner from surgeries or bone fractures, fatigue, anxiety, insomnia, carpal tunnel, bursitis, sprains, acute or chronic pain, blood pressure, thyroid conditions, digestive and elimination issues, dental work, infections, immune system imbalances, degenerative diseases, arthritis and cancer etc. Energy medicine can be used for any physical, emotional, mental and spiritual conditions or concerns. Energy medicine is now accepted as a legitimate healing modality in many hospitals and clinics in the United States though for centuries it has been and still is a healing therapy by many cultures around the world. Every language of every culture has their own name for this type of healing work, but they all utilize the same transference of healing information that comes from the same Creator or Non-Local Quantum domain. (terms come from religious and scientific communities respectively) Healing energy can be passed through touch and through long distances. The effects can be subtle or profound. Some clients have noticed the benefits from just one session. For others the conditions gradually improve with each session. Visit www.heavenonearthhealing.com for listings of testimonials from clients, and for more scientific information, IONS Institute for Noetic Sciences www.noetic.org. Energy medicine is safe for anyone of any age or with any condition. My training background is in: Qigong, Reiki, and Reconnective healing.
(There is ongoing research studies being done on the efficacy of energy transmission all over the U.S., i.e. Mayo Clinic in Rochester MN is studying the effects of Qigong. And IONS, Institute Of Noetic Sciences www.noetic.org and www.shiftinaction.com has an extensive archive of research reports) Ask for a hand out of research outcomes here at Heaven on Earth Healing Arts.
In office & over the phone healing or L.D.H. Long Distance Healing
Shiatsu - Asian Bodywork Therapy:
Where ever your present health status is shiatsu can always benefit. Shiatsu-Asian bodywork restores the body’s own ability to renew itself, harmonizing the internal forces that support healthy-functioning organs. Shiatsu moves the lethargic or stagnant, subdues the excessive and nourishes the depleted. Shiatsu helps remind the body to create balance and peace within. Asian bodywork is for everyone who needs to address imbalance from acute to chronic medical conditions or for those of you who just need to undo the stress of everyday and need self care time for rejuvenating and maintaining great health…. that covers just about everyone! I do various forms of Shiatsu; Namikoshi, Zen, Anma Shiatsu, Tuina, Jin shin do a very gentle holding points energy/bodywork, Ampuku Chinese stomach massage, Foot Reflexology, Sooji Hand Therapy, Guasha deep rubbing dispersing technique, Cupping dispersing technique that pulls toxins out of the body and Moxi-bustion burning herbs over specific meridian points for warming & tonifying the body. All these therapies are based on Traditional Chinese Medicine or TCM. Tongue and pulse diagnosis are a part of most treatments. They are both considered bodywork and energy work because they treat the meridians.
In office or on location
What You Can Expect...
From Transformational Life Coaching Short-term solution based therapy and coaching, that makes it easier and more comfortable to heal the past become more resourceful in the present and approach your desired future more effortlessly. During your 1st visit we will go through the orientation of how your brain and mind works, how information gets stored and how emotions and behaviors are responses stemming from present and past strategies or programmed beliefs and values. We will also discuss and set up communication of the conscious / sub conscious and unconscious mind. Your 2nd visit we will run through a 4 step process that will help you get very clear about the direction you want to move into. The 3rd visit, after reviewing the previous process we will then unveil the root of the presenting issue and begin doing the change work process. During your first and second visit you should allow for up to one hour. The third visit you should allow for up to 1 ½ to 2 hours for the session. NLP and Hypnosis are therapies that do not stop midstream of the change-work process, this allows for you and I to respond to golden opportunities for learning and growing and finishing a piece of change-work. You can expect to learn and grow in ways that you have never thought of. Determining how many sessions you need really depends on each person’s issues and how motivated you are to make the changes. I have had clients also experience the following: more energy and mental clarity, healing crisis; where the body responds to the major shift in consciousness for a few days, quantum synchronicity where things just unexplainably fall into place.
Individual & Group Coaching Available. In office & over the phone consulting & coaching
From Shiatsu Asian Bodywork Therapy
Wear or bring comfortable loose fitting clothing (i.e.. sweat pants, shorts, long or short sleeve shirt). I will provide these if needed. You should avoid caffeine or eating full meals a half-hour before the session. For TCM tongue assessment purposes please do not brush your tongue in the morning. Never drink alcohol before or soon after your treatment. For one-hour appointments know that a TCM assessment (if needed) will take about 5 – 10 minutes of the beginning of your session. If assessment time takes longer you will be charged for additional minutes OR it will reduce your treatment time further.
Be aware that emotional releasing may occur because of the healing intended nature of these treatments and that this is very normal. Each process is as unique as each individual. If unprocessed memories or emotions come to the surface of your consciousness, please feel comfortable with sharing them with me, I am trained to facilitate these processes, however if you choose to seek a spiritual director or counselor you may do so at any time.
The effects of Shiatsu and other Asian bodywork differ with the intended treatment. In normal circumstances you can expect to feel more energy, vitality, mental clarity, and a relaxed peaceful state of mind and body. Some may experience a healing crisis, where symptoms may seem worse for 24 – 48 hours usually speaking just following the treatment.
Jin Shin Do, is a very gentle holding meridian points type of work but the energy shifts are typically very deep which often causes; unusual hunger, drop in body temperature, or tiredness. Rest assured that this will pass quickly and you will notice improvements. Honor your healing process and be gentle with yourself.
Moxa-bustion is used for tonifying a weak, frail or cold body. It consists of burning herbs over specific meridian points to strengthen those organ pathways the effects of mild blistering are rare but possible.
Cupping & Guasha is used to remove toxins, stagnant qi/chi or blood from old injuries, external pathogens that cause colds & flu. The side effects will most likely cause discoloration of the skin from 1 – 7 days.
From Qigong & Reiki Healing Therapy
Energy medicine responds similarity with Asian bodywork. You will experience more energy, mental clarity, and improvements to your health and well-being and it is also possible to experience a healing crisis which usually occurs right away or immediately following your session. Again take note that if this happens it is a very good sign that your condition will improve very quickly!
*This is a professional ethical practice. I will refer clients to other professionals when I feel
a condition requires a broader scope of knowledge than what I have been trained for. I also do consult with colleagues that are in similar professions to better assist my clients. You as the client may request referrals at any time. You also have the right to end a session early if you feel uncomfortable or unsafe in any way. Client records are kept. Confidentiality is protected and can not be shared unless I have written approval from you or otherwise provided by law.
Payment PolicyPayment upon receipt of products or services unless other wise mutually agreed upon.
I accept Cash, Check & Payment Plans are available.
***CANCELATION & NO SHOWS***
Clients will be billed at full priceof your reserved scheduled time. So please make every effort to keep your appointment or call within 24 to 48 hours in advance. Thank you for honoring our time and our services
Billing ClientsServices needing to be billed to third party payers will be charged $1.75 per minute with additional charges after the first 30 days.
***Discounted Fees for Same Day Pay Clients in Office Appointments***
T.L.C. Transformational Life Coaching, Hypnosis, Neuro-Linguistic Programming 60 minute therapy sessions $75
Packages available
Asian Bodywork , Energy Healing, Foot Reflexology, Sooji hand therapy, Ampuku Stomach Massage 15 minute appointments $20
30 minute appointments $40
45 minute appointments $60
60 minute appointments $75
75 minute appointments $95
90 minute appointments $117
2 hour appointments $160
TCM Traditional Chinese Medical Assessment & Energy Assessment 30 minutes $40
Moxa-bustion, Cupping, Guasha, Ear Candling
30 minutes $40
Packages available for in office appointments
In Home Shiatsu Bodywork/ Massage
60 minutes $85
Plus surcharges
.50 per minute of driving time plus fuel expense
In Home Group Rate
Must have a minimum of 4 one hour appointments committed
Schedule: family, friends & neighbors in your home
60 minutes $80
MN State Sales Tax is added in your Bodywork & Energy healing appointments
Price Changes will be given proper notice before your next visit.
The State of Minnesota states:
You have the right:to complete and current information concerning the practitioner’s assessment and recommended service. Expect courteous treatment and to be free of verbal, physical or sexual abuse by the practitioner. Access to records and written information from records in accordance to sec. 144.335 To be informed that there are other health care services available in the community and can be found on community boards in stores, or newspapers and the yellow pages. To choose freely among available practitioners at any time with in the limits of health insurance, medical assistance or other provider services. To refuse services or treatment unless otherwise provided by law. To assert your rights without retaliation. The practitioner also has the right to be free from verbal, physical or sexual abuse And can end the session and charge normal fee for that appointment time.
Appointment Office Hours Please call first to schedule your appointment time.
Cut on this dotted line and retain the above information for your records
This portion is for your file
I_____________________________ have received and read the complementary & alternative health care client bill of rights. And, I have been informed on what to expect during and after I receive Asian Bodywork, Qigong/Reiki healing, Transformational Life Coaching, NLP, and Hypnotherapy and understand that this holistic therapy is in no way intended to replace conventional allopathic medicine. Today’s DATE__________
