All About You Wellness Centre
TRE Indemnity Form
People with physical limitations such as old injuries, stiff ankles, sore knees or hips etc., who have not had an operation in the last three months, are welcome to do the exercises with caution, as each exercise can be adjusted/ modified to suit you – PLEASE INFORM YOUR TRE® PROVIDER.
Psychiatric Conditions – Please Discuss Below With Your TRE® Provider Psychiatric Conditions (with medication)
* Manic/Depressive *Bi-polar Conditions *Schizophrenia *Severe/Clinical Depression
* Psychosis *Borderline
Everything discussed within the confines of the time of work together shall remain
confidential and shall not be divulged to any third party by your therapist/coach. If
participating in group work, no identifying material to be divulged outside of the group.
Non-identifying case material may be discussed during supervision with a designated
supervisor and for exam purposes.
We ask that cancellations be made at least 24 hours prior to the scheduled session. Please
note if cancellations are made in less than 24 hours, 50% of the session fee will be charged.
If you fail to attend the session, the full fee will be charged.
I undertake this treatment of my own accord and accordingly indemnify the therapist/trainer from any harm, loss or damages of any nature, whether bodily harm, trauma or any other damages to my person or property resulting from the treatment, whether directly or indirectly.