By submitting this form you acknowledge reading and accept the following;
I have stated all my known conditions and have answered all questions honestly. I take it upon myself to keep the Therapist updated on my health.
I understand that the Therapist does not diagnose, prevent or treat illness, disease or any other physical or mental conditions.
I understand that this treatment is not a substitute for medical treatments and/or diagnosis, and it is recommended that I see a qualified professional for any physical or mental condition that I may have.
I understand this treatment is not a substitute for medical care.
The Therapist has provided and explained the safety issues surrounding my treatment plan. I have had the opportunity to ask any questions.
I understand the following:
• I am not being advised to take any essential oil products internally
• I must keep all essential oil products out of the reach of children
• Essential oils could be poisonous if swallowed
• Essential oils must be stored in a cool, dark place
• Essential oils may irritate the skin if not stored or used properly
• Essential Oils must not be used with animals
• Essential Oils must not be used on the skin of babies or children under 1 years old
• Essential Oils must be used with extreme caution for children under 5 years old.
I hold Agnes Beauty and Wellness harmless for any injuries or negative effects I may experience as a result of having the treatments done on me during the course of my treatment plan, or using the products I receive during this consultation.
