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Session Disclaimer
I, Omarian Atman, am a Certified
Esogetic Color and Light Practitioner, Reiki Master, Life Coach, ordained
minister, teacher and consultant. I am not a
California licensed mental health practitioner or physician and I do not
provide psychotherapy or any other form of mental health service which would
require a California state license, nor do I hold myself out to provide such
services. I do not provide diagnosis or treatment of physical or mental
conditions nor am I licensed by the state as a healing arts practitioner.
C.C.P. is considered a complimentary healing arts service that is not
licensed by the state. For individuals or small groups I provide
individualized teaching and coaching designed to help people learn how to
commit to and achieve their performance goals, and remove any barriers they
have to success.
Cancellation Policy
Advanced notification to change
or cancel an appointment is required. Cancellations will be accepted 24
hours before the scheduled appointment. Cancellations by email and or text
messaging must also be confirmed 24 hours before the scheduled appointment
time to be accepted. Late cancellations should be made by telephone to
ensure that they have been received. If you fail to give sufficient notice
of a cancellation you will be charged your regular fee for that session. As
a courtesy please give as much notice as possible. Tentative notice is also
appreciated.
Payment Policy
Fees are due at the time that
the service is provided. Payment in advance may also be made for multiple
sessions. Payment plans are available by request and must be agreed to in
advance.
I have read the above disclaimer
and I am aware that Omarian Atman consultations are intended to be
educational and or performance coaching in nature and are not intended to be
psychotherapy or any other type of licensed therapy services. ___ (Initial.)
I have read the above
cancellation policy and I agree to give sufficient notice of a cancellation,
as specified above, or pay my full fee for that missed appointment. ___
(Initial.)
I have read the above payment
policy and I agree to pay my fees on the day of each session or in advance.
___ (Initial.)
Signature:
____________________________________________
Name (printed):________________________________________
Date:________________________________________________
Please sign and initial this
agreement and return it with your check.
If you have any questions please call me.
Thank you.
Omarian Atman C.C.P.
The Acu Light Center™
Balancing Your Health at the Speed of Light.
The Acu Light Center™
2922 W. Magnolia Blvd.
Burbank CA, 91505 USA
and servicing the greater
San Fernando Valley
818-581-5975
www.AcuLightCenter.com
info@aculightcenter.com |
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