Parent/Guardian Client Agreement
Responsibility for well-being of your child
Parents and guardians are responsible for care of your child and decision making for them. If your child has a specific medical condition or specific symptoms, somatic bodywork therapies may be contraindicated, including: craniosacral therapy, myofascial unwinding, orofacial therapy or developmental movement therapy. Because these somatic bodywork therapies, listed above, should not be performed under certain medical conditions, you affirm that you have named and described all your child’s known medical conditions. You agree to keep the practitioner updated as to any changes in your child’s medical profile and understand that there shall be no liability on the practitioner’s part should you forget to do so. A referral from your primary care provider may be required prior to service being provided.
You understand that the somatic therapy that your child receives is provided for the basic purposes of balancing fascia, muscle tone and coordination, and for restoration of the craniosacral & fluid rhythms. You understand that developmental movement therapy/reflex integration is provided for the activation of essential neural connections. If you notice that your child is experiencing any pain or discomfort during a session, you will immediately inform the practitioner so that therapy may be adjusted to your child’s comfort.
You further understand that somatic bodywork such as myofascial massage/craniosacral therapy and developmental movement therapy/reflex integration should not be construed as a substitute for medical examination, diagnosis, or treatment and that you should see a physician, chiropractor or other qualified medical specialist for any mental or physical ailments of your child. You understand that somatic bodywork therapists are not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat any physical or mental illness, and that nothing said in the course of the session given should be construed as such.
Payment is due on the day of service for most bodywork appointments, and that some appointments may require a deposit. Payment is required in advance for classes, gift certificates and discounted packages.
Additionally, you agree to pay a processing fee of $10 for each payment that is not made on the day of service, or payment of any additional charges for credit or debit charge that doesn’t clear. The practitioner may discontinue sessions if payments are not current.
Cancellation and rescheduling for any appointment, session or class requires a minimum of 36 hours notice by one of the following methods: (1) through your account at Acuity scheduling , (2) by voicemail or text to Catherine @ 612-444-9842 or (3) by email to Catherine@MamaBebe.org. If you do not provide 36 hours notice, any deposits will not be refunded, and you will be responsible to pay the posted fee in full.
You agree to all of the terms and conditions of the Parent/Guardian Agreement, as described above, when you sign at the Intake form.