Client Form – Crystal Bed Therapy

Please fill out the form below with your information, in agreement with the following:

By filling out this form, I acknowledge that it is my will to enter a relationship with Yol Swan to receive healing and/or guidance for personal and/or spiritual growth. I understand that she is not attempting to or engaging in the practice of medicine without a license, nor is she holding herself to be a medical or health professional of any kind.

I agree that Yol Swan does not claim to “diagnose, mitigate, treat, cure, or prevent disease” or symptoms as defined by the FDA and/or the State of North Carolina, and that the conversion to any specific religion, belief, or philosophy is not required by Yol Swan for me to participate in any type of session with her.

I understand that Crystal Bed Therapy does not replace any medication or medical treatment and I am encouraged to seek out the care of a licensed physician, therapist, or other health care provider if I become aware of or suspect that I have any form of medical, psychological or emotional distress, concern, symptom, indication of disease of any sort, or any other health related problem.

I agree to pay Yol Swan’s fees in full at the time of my scheduled appointments. I understand that she has a 24-hour cancellation policy and that since she reserves that time exclusively for me, said fees will still be due if I do not change or cancel my appointment at least 24 hours in advance during business hours. If I purchased a prepaid package, no refund will be given if I miss my appointments or fail to reschedule them within 1 week of their original date. If I cancel appointments from a discounted package, any remaining sessions will be refunded without the original discount.

I understand that I’ll benefit from Crystal Bed Therapy the most if I prepare for it with the guidelines/suggestions listed on the following page:

Crystal Bed Therapy – Asheville

I also agree to be added to Yol’s mailing list to receive newsletters and notices (I understand my information won’t be shared with anyone and I can unsubscribe at any time from this and any other of her lists I may already be part of).

By submitting the form below I am agreeing to all statements and business policies above as well as with your Privacy Policy.