The legal Stuff
By participating in any services, according to the state of Pennsylvania, you are acknowledging that this is for entertainment purposes. You consent to the treatment of yourself or your minor child and understand that the services provided by the practitioner, Annette Masi (Smash), are intended to enhance relaxation and increase communication within your body and soul.
You understand that these services are not a substitute for medical treatment or medication. You are aware that diagnosis is not given and
medication is not prescribed. You agree to continue to have regular medical check-ups as part of my overall health care plan.
You understand that participation is voluntary and that at all times and you may choose to end my participation. You understand that you may
experience ‘healing reactions’ during the 24 to 48 hours following the services provided.
You understand that any information exchanged during any session is educational in nature and is to be used at your own discretion. You also
understand that any information imparted during these sessions is strictly confidential in nature and will not be shared with anyone
without your written permission. You do, however, give the practitioner and the facility/location where the services are provided. consent to use your case history and results without using your name. You
understand that only the practitioner will have access to the information in your file to enhance your healing.
You understand that by providing this informed consent you are assuming full responsibility for your services and you hold harmless both the
practitioner, Annette Masi, and the facility/location where the services are provided.
You acknowledge that this consent is available electronically at all times, and is subject to change.
You agree to the terms and conditions set out by this consent form and certify that the above information is true and correct. You agree to
pay for distance sessions, should you request them.
You agree that no refunds, exchanges or substitutes will be provided, and unless otherwise discussed, services will be provided at the time and date as set in the appointment. You agree that if you are not present within 15 minutes of the services to be provided, you have abandoned your appointment and will therefore have to schedule and pay for a new appointment.