I understand that Quantum Biofeedback is a complementary and alternative medicine technique which enables an individual to learn to change some physiological activities for the purpose of improving health.
With biofeedback, the subject is connected to the biofeedback device with sensors to measure and receive information (feedback) about the body (bio).
The biofeedback sensors use mild electrical impulses that measure skin temperature known as Electro Dermal Response (EDR), which teaches the individual to make subtle bodily changes, such as relaxing certain muscles, to achieve desired results, such as reducing pain. Biofeedback is often used as a relaxation technique.
The instrument utilized in the training sessions is called the QUEX-ED biofeedback system, which requires that the client connect to the system with a headband, ankle and wrist straps to measure EDR.
The scope of my practice through the use of this biofeedback system includes stress reduction training programs for relaxation training, pain management, muscle re-education and brainwave training. Although this training is expected to produce beneficial results, such results cannot be guaranteed.
Biofeedback training is a complement, not a substitute, for medical or psychological treatment, and any ongoing treatment should not be discontinued without advice of your treating physician.
I understand that Colette Carlsson is not licensed as a physician, psychologist or chiropractor, and cannot and will not diagnose, treat, cure, mitigate or prevent any medical or psychological disease, disorder or condition.
REIKI
I, the undersigned, understand that the Reiki session given involves a natural hands-on method of energy balancing for the purpose of pain management, stress reduction, and relaxation. I understand very clearly that these treatments are not intended as a substitute for medical or psychological care and that it is recommended that I seek a licensed health care professional for any physical or psychological ailment I have.
I understand that the practitioner will be placing hands on me during the Reiki session.
CONFIDENTIALITY
Client information will be kept in confidence and will not be disclosed to anyone outside of this office without your written consent, unless as is required by law.
CANCELLATION POLICY
I understand that if I do not cancel my session within a 24hr of the session that I will be charged the full session cost. Services or meditations are not subject to refunds.
CONSENT
Your signature below indicates that you have read and understood the information in this document and that you consent to biofeedback training or reiki/sound healing under the provisions stated. If you do not understand or consent to anything stated in this document, it is your responsibility to request and receive clarification before signing.
