3) Where are you currently feeling stuck (ex. in a relationship, in your career, life purpose)? What are your current challenges?
Thank you for choosing to work with me. Before we begin, please take a moment to review and sign this consent and waiver form to ensure we’re on the same page.
INFORMED CONSENT
I understand that sessions with Molly Robinson are complementary, holistic practices that support the body, mind, and spirit. These sessions are not a substitute for licensed medical care, therapy, or professional mental health services.
I understand that no specific results are guaranteed, and outcomes may vary. I acknowledge that I am responsible for my own health, wellbeing, decisions, and actions during and after each session.
SCOPE OF PRACTICE
I understand that Molly Robinson is not a medical doctor, psychotherapist, or licensed healthcare professional. She does not diagnose, prescribe, or treat medical or psychological conditions. The services offered are intended to support energetic balance, emotional clarity, and intuitive awareness.
CONFIDENTIALITY
I understand that all personal information shared during our session will remain confidential and will not be disclosed without my consent, unless required by law.
RELEASE OF LIABILITY
By signing this form, I acknowledge that I am voluntarily participating in this session and assume full responsibility for any physical, mental, or emotional outcomes. I release Molly Robinson from any and all liability, claims, or legal actions arising out of or in connection with my participation in these sessions.
CANCELLATION POLICY
I understand that a minimum of 24 hours' notice is required for rescheduling or cancelling appointments. Late cancellations or no-shows will not receive a refund, but I will utilize our session time to give you a healing and follow up with an email.
By filling out the form below, I confirm that I have read and understood the information above, and I agree to participate in these sessions with full awareness and responsibility.