INFORMED CONSENT/CLIENT DECLARATION

I hereby voluntarily consent to a relaxation therapy session at Rooted In Sound. I have read the program protocol and conditions and agree to comply with all recommendations, to the best of my ability, in order to receive maximum benefit.

I am responsible for the decision to seek this type of relaxation therapy program that could include improvement of the physical, psychological / emotional and environmental aspects of my illness. I recognize that the Rooted in Sound staff do not treat any specific disease or illness and they are not licensed, certified, or registered by the state as a health care professional. However, all staff members are trained technicians and possess the proper training for administering sessions for clients. I recognize the possibility that this program may not prove successful or accomplish the results I expect or hope for. I understand that best results are obtained with a package program / protocol and membership.

I accept that there is a 24 hour cancleation policy.

I acknowledge that any session canceled with in 24 hours of the appointment will be charged for the session.

I accept that there is a 30 day cancellation policy for all memberships, subscriptions, and trainings, and that a request for cancellation must be emailed to Rooted In Sound. Your cancellation will go into effect 30 days after the email has been received by the Rooted In Sound Management.

If a refund is issued for a training, retreat, or workshop there will be a 25% cancellation fee to cover the material and expenses that are incured by Rooted In Sound once a registration is received.

Gift Cards are not redeemable for cash.

I am fully informed that this approach to health differs from, and may not be recognized by, traditional medical standards. Clients should discuss any recommendations made by Rooted In Sound with their medical professional. As further inducement to Rooted in Sound to provide services for me, I hereby waive any claims and demands that I might now or hereafter have against Rooted in Sound or its owners or staff that may arise, or deemed to arise from participating in therapy programs at Rooted in Sound, and I hereby further release Rooted in Sound and its owners and consultants from any and all liability of whatsoever kind or nature arising out of or in any way relating to the therapy sessions I will receive at Rooted in Sound. Rooted in Sound does carry liability insurance as deemed necessary by the State of Pennsylvania and the leasing agent in which we are doing business on their property.

I understand that Rooted in Sound reserves the right to deny treatment if it is not deemed by Rooted in Sound to be in the best interest of the client(s) or staff.

It is understood that any therapy sessions, remedies, nutritional supplements, or treatment modalities are intended to enhance overall body performance and are not intended or implied to treat or “cure any specific illness.” It is understood that any suggestions regarding remedies and nutritional supplements are only Rooted in Sound's best recommendation and are at no time to be considered a prescription.