Consent Form

Thank you for choosing Infinite Potential for your BodyTalk Session. Before proceeding, please review this form outlining our confidentiality practices.

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Your involvement with Infinite Potential and your practitioner is treated with the utmost confidentiality. We will not disclose any information about your session unless you provide written permission. However, there are three legal limitations to confidentiality:

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1. If child or elder abuse is suspected, we are obligated to report it to the appropriate authorities.

2. If we believe there is a danger to yourself or others, we must take necessary actions to ensure safety.

3. In response to a court order, we are obligated to present records.

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Additionally, your practitioner may disclose clinical information to Infinite Potential for coordination of services, quality assurance, and payment processing. We use secure third-party providers for appointment booking and payment processing. While we strive to protect your information, please note that no online transmission can be guaranteed 100% secure. Once received, we make every effort to ensure its security on our systems.

As sessions are conducted remotely, you are responsible for maintaining confidentiality and privacy at your location. The session will proceed even if others are present in your surroundings. Please take measures to ensure confidentiality in your environment, while we maintain confidentiality measures on our end.

By checking the box in the intake form, you affirm understanding and agreement to the privacy and confidentiality terms.

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Should you have any complaints if you feel any of your confidential information has been disclosed without your permission, please contact 8potentialsg@gmail.com

By agreeing to this document, you acknowledge that the session is intended to enhance relaxation and communication within the body. It is not a substitute for medical treatment, diagnosis, or medications. Participation is voluntary, and you may end your session at any time.

Information exchanged during the session is educational and to be used at your discretion.

By providing this informed consent, you assume full responsibility for the session and hold harmless Infinite Potential, the Practitioner, the health clinic, and the facility/location.

Payment is due upon booking. A 24-hour cancellation notice is expected. Missed or canceled/rescheduled appointments with less than 24 hours notice will incur charges. Infinite Potential reserves the right to adjust session pricing in the future.

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If you have questions, please discuss them promptly with your practitioner or email 8potentialsg@gmail.com.

By checking the box during the booking, you acknowledge reading, understanding, and agreeing to this document's terms and wish to proceed with a session with the booked practitioner.