Client Responsibility and Waiver
I (the client) verify that all information, provided on this form, is correct and current to the best of my knowledge. I understand that any information provided is for safety purposes and will be kept strictly confidential unless I provide written consent.
I agree to provide full disclosure of my current medical situation, including but not limited to all relevant treatments and medications and that any changes occurring during our sessions, are required to be communicated to my practitioner. I understand that the services offered in these sessions are not a substitute for medical care.
I hereby give my consent to receive treatments and I acknowledge and agree that I am doing so at my own risk. My health and safety with respect to such services are my sole responsibility.
I understand that the session will be facilitated by a Practitioner of Tantra and that as such the student is not yet as proficient, experienced, or trained in all of the techniques and protocols that a certified practitioner would be expected to know. However, they are equipped with the tools to hold me through deep, embodied transformation with loving presence.
If I experience pain or physical discomfort during the session, or if I am uncomfortable with any part of the session, I will immediately inform the Practitioner.
My decision to receive services is voluntary, and I know of, understand and assume any and all the risks associated therewith. On choosing to engage in sessions I assume personal responsibility to manage my current physical, emotional or mental health conditions.
By clicking the submit button below, I acknowledge I have read and agree to the above waiver and conditions and I hereby waive and release my Practitioner and the Rose Tantra School from any and all liability, past, present and future relating to this session work.
In addition, as part of the exchange of this session, I agree to complete the Client Feedback Form, in order to support the student practitioner to complete their training.
If I have any questions or concerns, I will inform the student practitioner and/or the Rose Tantra School via hello@rutasofia.com
