Lymphatic Breast Care
Terms & Conditions Waiver
Please read through the terms & conditions, client policies, and disclaimer and fill out the subsequent form prior to your appointment.
-
Please read the statement below. Your acknowledgment and agreement is a requisite to participating in any session with Gabrielle Díona. If you agree, please sign and date in the appropriate space below.
I understand that the massage, bodywork, and energetic work is provided for the basic purpose of relaxation, increasing circulation, and relief of muscular tension. If I experience pain or discomfort during the session, I will immediately inform my therapist so that pressure/strokes can be adjusted to my level of comfort. I will not hold my therapist responsible for any pain or discomfort I feel after the session.
I understand that the services offered today are not a substitute for medical care. I understand that my therapist is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat physical or mental illness.
I give the bodyworker/practitioner full permission to facilitate an interview, a therapeutic bodywork treatment, and post treatment protocols.
I affirm that I have notified my therapist of all known medical conditions and injuries and will inform my therapist of any changes in my health and medical conditions. I understand that there shall be no liability on the therapist’s part should I forget to do so.
By signing this release, I hereby waive and release and hold harmless Gabrielle Díona and all their relatives, successors, and heirs for any condition and from any and all liability, past, present, and future, which may result from receiving therapeutic massage or bodywork, lymphatic education & breast work, receiving herbal education, dietary and/or nutritional education, or education around anatomy and physiology in my space, or from leaving, arriving, and occupying the building and its surrounding premises.
LYMPHATIC BREAST CARE:
By signing this document, I understand that receiving Lymphatic Breast Care can move lymph & blood, break up congestion, & support the body with releasing toxins.
REGARDING COVID 19:
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by my mere presence within this interaction or establishment and that such exposure or infection may result in personal injury, illness, permanent disability, and/or death. I understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including the practitioner treating me. I hereby release the practitioner and business from any and all claims arising from or in connection with any direct COVID-19 impact during the service and exchange.
I understand that because massage therapy etc involves close physical proximity over an extended period of time in a closed space, there may be an elevated risk of disease transmission, including COVID-19. I hereby acknowledge and assume the risk of becoming infected with COVID-19 through this treatment and give my express permission to my therapist to proceed with providing care.
-
Payment Policies
-Payment is due in total at the time of service. Cash, check, Venmo, or Square are accepted. If payment is not received in full at time of service, future service will be denied until such a time as payment has been rendered.
Cancellation Policy
I understand that unanticipated events happen occasionally in everyone’s life. In my desire to be effective and fair to all my clients and out of consideration for my time, I have adopted the following policies:
-24 hours advance notice is required when cancelling an appointment.
-If you are unable to provide 24 hours advance notice you will be responsible for the full amount of your session.
-In case of personal emergencies and accidents, I maintain the right to decide what is fair using my professional discernment.
No Shows
-Anyone who either forgets or consciously chooses to forgo their appointment for whatever reason will be considered a “no-show”. They will be charged in full for their missed appointment. If multiple “no-shows” occur future service will be denied.
Arriving Late
-Appointment times have been arranged specifically for you. If you arrive late your session may be shortened in order to accommodate others whose appointments follow yours. Depending upon how late you arrive, I will then determine if there is enough time remaining to start a treatment. Regardless of the length of the treatment actually given, no refunds or partial refunds will be given.
-All product sales are final.
Client & Practitioner Interaction Policies
-Sexual harassment is not tolerated. If the practitioner feels that their safety is compromised, the session is ended immediately, and no refund will be given.
-Both client and practitioner should be fully present (never under the influence of alcohol or drugs).
-Intoxication at the time of the session will not be tolerated and the client will be respectfully asked to leave the premises. Refunds or rescheduling will be at the discretion of the practitioner.
-Client is responsible for respecting the practitioner’s boundaries. This includes but is not limited to occupying the studio/office/premises at the time appropriate for the treatment, and kindly leaving when the session is complete.
-We are available to our clients by email or phone during designated office hours and will respond at my first opportunity (usually within 24-48 hours).
-Arrive promptly at designated, scheduled time unless otherwise communicated with the therapist. It is recommended to arrive at least five minutes prior to your scheduled session.
-Always treat the practitioner with utmost courtesy and respect.
-Participate in reflecting health and hygiene standards appropriate to receiving a treatment. Please let the practitioner know if you have any contagious condition or any health concern that necessitates declining your session.
-Do not invite someone to replace you at the time of your session without prior approval with the practitioner.
-Client is responsible for bringing a form of appropriate reciprocation at the time of the session.
-Client is held responsible for being respectful of the bodyworkers’ space and personal belongings. The practitioner is also responsible for being respectful of the client’s space in the case of mobile sessions.
What you can expect from us
-We provide our clients with a competent and professional session each time they come for an appointment, addressing the clients specific needs for that session.
-Clients are treated with respect and dignity.
-We perform services for which we are qualified (physically and emotionally) and able to do and refer our clients to appropriate specialists when work is not within our scope of practice or not in the best interest of the practitioner or client.
-We keep accurate records and review client information before each session.
-We stay current with information and techniques by reading, receiving regular sessions, and taking at least one workshop or training per year.
-We respect all clients regardless of their age, gender, race, national origin, sexual orientation, religion, socioeconomic status, body type, political affiliation, state of health or personal habits.
-Privacy and confidentiality are maintained at all times.
-The products and supplies we use during treatments are clean, sustainable, and of high quality.
-Personal and professional boundaries are respected at all times.
-Clients are properly draped with a sheet or towel at all times during sessions that include clothing off modalities. Only the parts of the body being worked on are exposed at any time.
-
Please note that Gabrielle is not a doctor or medical practitioner. The protocols + practices within this space are a mixture of her background as an herbalist, whole foods advocate, wise woman mentor, bodywork professional, doula, years of self-study, and her own personal journeys and beliefs. What is discussed in this community does not replace the advice or care of your primary care provider (doctor, midwife, therapist, counsellor, dietician, etc.) and it is always suggested to speak to your care provider before beginning any dietary change or adding in any supplementation, including herbs. Gabrielle does not take responsibility for those that do not follow these recommendations. Should she feel as though something is outside of her scope, she will recommend you to see a suitable practitioner. You are sovereign in this space to determine what is true and feels good for you.