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Ageing Well Mentoring
Declaration

If you are under any medical, psychiatric or psychological supervision, you are encouraged not to make any changes without first seeking consultation from those professionals.

Ageing Well Mentoring
Declaration

Please review our Terms of Service below and confirm your acceptance of the terms by ticking the box below and on the intake form.

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I acknowledge that everything experienced in this practice is not intended to replace orthodox medical treatment, but to be used in conjunction with it. I give consent to enter this process.

I accept that I need to commit to at least 5 sessions for optimum outcome.

If I cancel an appointment with less than 48 hours’ notice, I am liable to pay 50% of the full session cost.

If I cancel with less than 24 hours’ notice or do not attend my appointment, I am liable to pay the full cost of that session.

I agree to make payment before the start of each session to:
Silver Sirens Events, BSB: 313-140 Acct # 12347818

I have reviewed, and accept the terms in the above Decaration.

Date

Initials

I confirm that the information given in this form is true

Thanks for submitting!

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