I give consent for kinesiology balances and have the right to withdraw consent at any time. The kinesiologist has explained the treatment plan to me. I will communicate information, such as pain or discomfort levels, throughout the session to ensure my own safety and eectiveness of the session. I acknowledge that there may be post treatment eects including feeling very relaxed, emotional release and muscle soreness and tenderness.

 

The information obtained from you will remain confidential and will not be shared with anyone except under the following conditions: 1) perceived risks to commit serious harm to self or others; 2) information indicating the abuse of children; 3) valuable information during a medical emergency; 4) an order from the court to disclose information.