Your E-Mail Address
Notes to Business
(your address or any special notes about your order)
3X session (90-120min)
Brigit Viksnins, MAT, SEP, RCST ® , BCTMB
Somatic Experiencing Practitioner
Registered Biodynamic Craniosacral Therapist
Board Certified, Licensed Bodyworker/Massage Therapist
Consent for Bodywork
I consent to receiving bodywork from Brigit Viksnins, including any of the following: Alchemical Alignment, Somatic Experiencing, Biodynamic Craniosacral Therapy, Therapeutic Massage and Bodywork, Neural and Visceral Manipulation, and energy work. I understand that the basic purpose of these therapies is the re-regulation of the body. I also understand that if I experience any pain or discomfort during the session, I will inform the practitioner. I affirm that I have, to the best of my knowledge identified known health conditions. I also understand that Brigit will not diagnose conditions or prescribe pharmaceuticals.
Any information shared with me is educational in nature, and not meant to take the place of medical, chiropractic, psychiatric or psychotherapeutic consultation. I understand that Brigit cannot make any promises or guarantees with regard to specific challenges. Also, I agree to keep Brigit appropriately updated as to any changes in my health profile. I understand that payment is due by the time services are rendered. If I need to change or cancel my appointment, I will do so with a minimum of 48 hours’ notice to avoid being charged for the session. No fee is required in cases of debilitating illness, birth work, emergency or dangerous weather conditions. I have received Brigit Viksnins’ notice of privacy practices. I give permission for information from my sessions to be used, keeping me anonymous, in Brigit's personal supervision sessions, and educational material she presents.
You must agree to the terms above to continue