Client Consent

This form helps ensure your session is safe, comfortable and tailored to your needs.

Click here to read up on the participation information sheet; including contraindications, what to expect, reasonable adjustments, physical and emotional outcomes.

First name

Last name

Email

I have read and understood the participation information sheet on contraindications and possible responses to sound therapy. I understand that Sound Therapy is not medical or psychological treatment, nor a replacement for it, but only a complementary wellbeing practice to support relaxation.

I understand that responses to sound therapy vary between individuals; no specific outcome is promised or guaranteed. However, I am aware that I am responsible for deciding if Sound Therapy is safe for me.

I understand there are risks that come with attending this session, such as trips, slips and falls. I agree to take appropriate care for my own wellbeing.

I have read and understood the participation information sheet on contraindications and possible responses to sound therapy. I understand that Sound Therapy is not medical or psychological treatment, nor a replacement for it, but only a complementary wellbeing practice to support relaxation.

I understand I remain responsible for my own personal possessions whilst on the premises. CST cannot take liability for this, except where liability cannot be legally excluded.

I confirm I have read and understand the nature of the session and volunteer to take part.

I confirm I will report any changes to the details I have provided if and when they change.

Is there anything you wish to share with me prior to your session for me to take into consideration when planning and facilitating your session?

No

Yes

Date

Initials

I confirm that the information given in this form is true

Thanks for submitting!

Clarity Sound Therapy

Let the soothing power of sound guide you to

peace, happiness, and health

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Client Consent

This form helps ensure your session is safe, comfortable and tailored to your needs. Click here to read up on the participation information sheet; including contraindications, what to expect, reasonable adjustments, physical and emotional outcomes.

This form helps ensure your session is safe, comfortable and tailored to your needs.

Click here to read up on the participation information sheet; including contraindications, what to expect, reasonable adjustments, physical and emotional outcomes.