Thank you for taking the time to fill out the above information. This information is helpful for our practitioners to assist you during your healing journey.
~IMPORTANT: PLEASE READ THE FOLLOWING~
Earthways Healing Informed Consent
Nature of Services
Earthways Healing provides a variety of holistic and educational services, including however not limited to:
IntuitiveCare (is similar to psychotherapy or counseling as it encompasses talk therapy like approach)
Coaching and personal development services
Energy work (e.g. Earth Spirit Medicine Reiki, spiritual consultation, sound healing, etc)
Group classes/trainings, workshops, and retreats
Brain spotting, EMDR, somatic-based healing and other Evidence Based practices may be used (which are used in clinical settings) which can create a clinical like feeling to the sessions.
Disclaimer: Even though the practitioner is a Licensed Professional Counselor in WI and is legally capable of facilitating psychotherapy, diagnosing and providing comprehensive assessments according to clinical standards, Earthways Healing services are intuitive, holistic and alternative that encompass a therapeutic nature and are more aligned with coaching, energy healing, and spiritual. Sessions are not "Therapy" or "Psychotherapy" sessions. If you are seeking a more Westernized therapy approach or outpatient treatment, Earthways Healing is not that facility. Our services are considered alternative and do not replace medical or psychiatric care, however, can compliment regular therapy if treated elsewhere.
Scheduling, Cancellation & Terms Policy
Scheduling: All sessions are scheduled through Calendly. You will receive email and text reminders for your appointment. A valid email address and phone number are required in order to schedule.
Availability:Practitioner availability varies, and the website calendar may not always reflect real-time changes. If the practitioner needs to reschedule, you will be notified promptly and a new time will be arranged.
Cancellation & Rescheduling:
A minimum of 24 hours’ notice is required to cancel or reschedule any service (sessions, classes, trainings, or workshops).
Less than 24 hours’ notice: Full session fee will be charged.
24 hours or more: 50% of the session fee will be charged.
No-shows: Full session fee will be charged. Two no-shows may require prepayment for future sessions.
All fees are invoiced electronically.
Packages & Deposits:
Late cancellations or missed package sessions result in forfeiture of one session.
Package plans, class deposits, and training deposits are non-refundable.
Packages may be purchased for another person, however, must be used by one individual only.
Responsibility: You are responsible for providing accurate contact information and responding to scheduling communications in a timely manner.
Agreement: By purchasing any service, class, or training, you agree to these terms. Earthways Healing, LLC reserves the right to modify these policies at any time.
Confidentiality
At Earthways Healing, LLC, we are committed to protecting your privacy and ensuring the confidentiality of your personal health information provided upon intake. We comply with the Health Insurance Portability and Accountability Act (HIPAA) to safeguard your personal and medical data.
Our practices adhere to strict standards for the collection, use, and disclosure of protected health information (PHI). Your information is used only to provide support for your wellness journey.
If you have questions about how your information is handled, please contact us for more details on our privacy practices. Your trust is our priority.
Information shared in the IntuitiveCare, coaching, classes, and group settings is kept confidential to the extent possible however, cannot be guaranteed in group formats.
For all services, confidentiality may be broken if (practitioner is considered a mandated reporter):
There is suspicion of child, elder, or vulnerable adult abuse
There is a threat of harm to self or others
Records are subpoenaed by a court of law
Risks and Benefits
Possible Benefits:
Greater self-awareness and personal healing
Improved well-being, relationships, and emotional regulation
Spiritual insight and energetic alignment
Possible Risks:
Temporary emotional discomfort as deep work unfolds
Shifts in relationships or personal identity as you grow
Rare but possible physical discomfort during physical practices (e.g., breathwork)
**Please communicate openly during sessions if anything feels unsafe or uncomfortable.
Communication and Technology Use
Sessions may occur in person, by phone, or via HIPAA-compliant video platforms.
Email and text communication are used for scheduling only and are not secure for confidential content.
Practitioners will respond during business hours unless otherwise arranged.
Consent and Acknowledgment
By receiving services from Earthways Healing, LLC, you acknowledge and agree that:
You have read and understood the Policies, Terms & Conditions and Informed Consent information.
You agree to participate in services offered by Earthways Healing, LLC.
You understand the limitations, risks, and benefits of the services.
You consent to the policies and practices outlined herein.
