Pattern Interruption Intensive Booking Form

I understand that this is a wellness consultation/coaching service and is not medical diagnosis or treatment.

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I understand that Ayurvedic recommendations are educational and supportive in nature and are not a substitute for medical care from a licensed healthcare provider.

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I understand that I am responsible for sharing relevant information about my health, medications, supplements and other factors that may be important to this work.

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I understand that my consultation/session is reserved once payment has been received and that scheduling occurs after I have completed the required intake and documents.*

I understand that I will receive the intake form and required client documents after payment and that I need to complete them before my session can be scheduled.

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I understand that Pattern Interruption involves reflective coaching and exploration of thoughts, behaviours, conditioning and personal patterns. I understand that this work is not psychotherapy, psychological diagnosis or crisis intervention.*

I acknowledge that this work may invite reflection on experiences, beliefs and patterns that are emotionally meaningful. I understand that I can communicate my boundaries and choose what I am comfortable exploring.*

I have read and agree to the cancellation/rescheduling policy.

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