top of page
Client Release and Informed Consent Form: Craniosacral Therapy

Thank You!

Craniosacral therapy is a gentle, non-invasive form of bodywork that seeks to release tension and improve the functioning of the central nervous system. It is not a substitute for medical treatment or diagnosis by a licensed healthcare professional.

 

Acknowledgment and Consent

I, the undersigned, acknowledge and agree to the following:

1. Voluntary Participation:

I understand that participation in craniosacral therapy is voluntary and that I may stop or modify the session at any time.

2. Nature of Craniosacral Therapy:

I understand that craniosacral therapy involves light touch and gentle techniques to support my body’s natural healing processes.

I acknowledge that the therapy is not intended to replace medical treatment or professional healthcare services.

3. Medical Disclaimer:

I confirm that I have disclosed all relevant medical conditions, injuries, or health concerns to the therapist prior to the session.

I understand that no medical diagnosis, treatment, or prescription will be provided during the session.

4. Assumption of Risk:

I understand that, while craniosacral therapy is considered safe, results may vary, and I am responsible for communicating any discomfort or concerns during the session.

5. Confidentiality:

I acknowledge that all information shared during sessions will remain confidential, in accordance with applicable privacy laws.

6. Cancellation Policy:

I agree to the cancellation policy as outlined by the therapist and understand that missed appointments or late cancellations may result in charges.

 

Waiver of Liability

I hereby release and hold harmless Mitch Clark and Power Yoga Sudbury from any and all liability, claims, or damages arising from my participation in craniosacral therapy, except in cases of proven negligence.

 

Client Declaration

I have read and fully understand the terms of this waiver. By signing, I voluntarily agree to participate in craniosacral therapy sessions and accept the terms outlined above.

​

bottom of page