Buy clicking here you agree to the three month minimum. After the initial three months, you can cancel at any time by emailing Dr. Mary.
I hereby understand and agree that unless otherwise specified in a formal writing, the initial term shall be for a minimum of three (3) months
and shall be automatically renew on a month-to-month basis thereafter unless either party provides written notice to the other of its intention
not to renew at least thirty (30) days prior to the expiration of the then-current term.
I hereby give my consent to the performance of Energy Medicine techniques. I understand that Energy Medicine is a holistic, complementary
and integrative energy-based therapy that is accomplished through the use of contact and/or non-contact touch and a heart-centered state of
being. Mary Sanders, MIM does not diagnose or treat disease and Mary Sanders, MIM is not a physician. These sessions are not a substitute for
diagnosis or treatment from a qualified health practitioner for illnesses, injuries, or other medical conditions. Energy Medicine is not formally
licensed or approved in many states but Aviva Integrative Health, LLC’s practice is guided by the Code of Ethics and Standards of Care
located at www.drmarysanders.com/legal. Mary Sanders, MIM makes no specific claims regarding the results I may experience from an
Energy Medicine session. I understand that the practice of Energy Medicine, like the practice of all healing arts, is not an exact science, and I
acknowledge that no guarantee can be given as to the results or outcome of my care. I have had an opportunity to discuss with Mary Sanders,
MIM the nature and purpose of Energy Medicine. I understand and am informed that, as with the practice of all healing arts, Energy Medicine
may carry some risks to treatment or limited benefits. I do not expect Mary Sanders, MIM to be able to anticipate and explain all risks and
complications. I consent to rely on Mary Sanders, MIM’s best judgment, exercised during the course of treatment that is in my best interest,
based upon the known facts. I have read the above statement of consent. I have also had an opportunity to ask questions about my consent,
and by signing below I agree to the above named Energy Medicine procedures to be administered by Mary Sanders, MIM. I intend this
consent form to cover the entire course of treatment for my present conditions(s) and for any future condition(s) for which I seek treatment.