Consent For Medical Intuitive Reading

Medical Intuitive Reading Request and Consent For Medical Intuitive Reading

By signing below I hereby represent and agree to the following:
-I am 18 or over years old
-I wish to obtain a medical intuitive reading from Marina Nabutovskiy, BSN RN of Marina’s Emotional Wellness Support
-I understand that a medical intuitive reading I am/will be receiving is for educational purposes only
-I understand that this reading is not psychotherapy
-I understand that no health care provider-patient relationship is established through my participation in the above mentioned reading
-I have current primary and/or specialty care providers whose care i am under
-During the above mentioned medical intuitive reading, a list of options/resources will be shared  with me and I agree that before undertaking any of those options/solutions
-I understand that Marina Nabutovskiy, BSN RN of Marina’s Emotional Wellness Support reserves the right to refuse to do a reading or end one at any time and will refund my(client’s) payment of _______in full
-After the first minutes of reading you will be asked if the reading matches your experience. If it does not, you will be refunded the full amount you have paid for the reading. However, if you verbally confirm that the evading matches your experience, and you ask me to complete the session, you are agreeing to the full fee and understand that no refunds will be given
-I understand that medical intuitive reading is not reimbursed by medical insurance

-Cancellation Policy: No refund will be given if I receive notice of your cancellation less than 24 hours from your scheduled appointment

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