Sunni'Steam Intake & Acknowledgment Form
Thank you for choosing Sunni'Secrets for your Holistic Yoni Steam Wellness!
To facilitate your service it is important that you read and understand the following conditions: Yoni Steam practitioners do not treat, cure or claim to cure or prevent any dis-ease. We are not medical physicians and therefore do not diagnose dis-ease or prescribe drugs.
Our services are solely for assisting you on your path to obtaining and maintaining optimum health. At all times your healing is your complete responsibility.
It is our belief that when given the proper mental, physical, and spiritual nourishment, the body has the power to heal itself. Therefore, my service is provided as a complementary health alternative and is completely elective.
You hereby request to receive the yoni steam and/or other complementary therapies are required to advise your practitioner of any conditions including pregnancy that may prevent you from relieving our services. You are required to advise your practitioner if at any time during your care if you experience pain or discomfort.
You have been advised of the possible benefits of receiving a Yoni Steam including but not limited to the cleansing, strengthening and toning of the uterus and the reduction of the severity of the certain conditions. Your Yoni Steam Practitioner reserves the right to terminate or refuse her services to anyone who poses a health or safety threat or for any inappropriate behaviors.
You are hereby advised that all records rendered by your Yoni Steam Practitioner concerning your care will be kept confidential and d will not be released by our Yoni Steam Provider without your written consent unless otherwise required by law. You are required to remit a deposit prior to the start of your session.
I hereby acknowledge that I have read the acknowledgment and release from liability and I understand the nature of the service/s I am receiving today, and I fully agree to receive them. I release the Yoni Steam Practitioners on behalf of myself from any claim of malpractice, non-discloser, or lack of informed consent. I solely and freely assume all risks of the services provided presently or hereafter.
Client: Name | Phone | Date of Birth | Gender
Primary Reason for Seeking Service?
Page 1 of 4
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service