Client History Questionnaire

Client History Questionnaire 2018-04-16T14:45:03-07:00
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Please fill out the following questionnaire and click “Submit”.  A copy will be sent to you by email.

Client History Questionnaire
Any Other Pain Information
Sending

Body Diagram – Instructions

Please download this diagram of the body and print it out. Mark on it any places where you have pain or symptoms. There is no right or wrong way to do this, so feel free to use it however you like. We will review this diagram in the office, so don’t worry if you are unable to complete it.

Download Body Diagram [PDF, 975Kb]

Notes (Office Use Only)

 

 

 

 

Book Your Appointment

Contact

Email Karen for your appointment!
karen@nullkarenwrinkle.com

Or you can reach Karen at (604) 862-1676.

Is This Work a Good Fit?

Karen offers a complimentary 15-30 minute phone consultation to those who are curious about the work and are wondering if Craniosacral Unwinding would be a good fit for them. Please email Karen with the subject heading “Consult Request” to set up your free consultation, making sure to include your phone number and a list of times you are available.

Booking

Office Hours: 9am to 5pm, Mon – Fri

Messages regarding bookings or phone consultations can expect a reply within 24 hours during office hours.

Note: To ensure an appointment time that is convenient for you, please book in advance.

Cancellation

Honouring Time
A broken appointment is a loss to three people:

  • You – because you miss your scheduled treatment
  • Another client – who could have used your appointment time
  • Your therapist – who could have been treating someone at that time

If cancellation is not given 48 hrs prior to your appointment, full payment for the session is due.

Where

Wednesdays and Thursdays – Kerrisdale

Fridays and Saturdays – West Vancouver

Session Time

Please be aware that your one hour appointment time includes time to prepare and get on the table, and to depart the office. This allows me to honour the time of the client before and after you.

Late Arrival

If you arrive late, your session will still end at the scheduled time, and you will be billed for the regular appointment. If your therapist is late, either time will be added to your session or to a future session, or the charges will be reduced accordingly.

The greatest compliment you can give me is a referral.

Please feel free to give my name to a family member or friend.

Fees

The cost of a regular one hour session is $125.00 (including GST).

Initial assessment and treatment for one hour and a half is also $125.00 (including GST).

Payment

Payment is due at time of service (cash, cheque or e-transfer).

During Your Session

I do everything I can to protect your time for healing and listening to your body. Your session is a time for you—please let your needs be known and enjoy your session. If you have questions at any time, please don’t hesitate to ask. It is a pleasure to be working with you.

Medical Note

Craniosacral Therapy is not meant to replace first aid or primary medical care. Please check with your physician regarding any serious medical concerns prior to exploring other modalities.