Aromatherapy Informed Consent
By scheduling a Holistic Aromatherapy Consultation, you agree to the following:
I hereby voluntarily request and consent to receive Aromatherapy services from Lindsay Blotzer at EarthWise Wellness, LLC.
I will/have stated all my known conditions and have answered all questions honestly in all communications. I take it upon myself to keep Lindsay Blotzer updated on my health and changes to medications.
I understand that my Aromatherapy consultant does not diagnose, prevent or treat illness, disease or any other physical or mental conditions. I understand and acknowledge that no guarantees have been made to me as to the effect of Aromatherapy services.
I understand that this service is not a substitute for medical treatments and/or diagnosis, and it is recommended that I see a qualified professional for any physical or mental condition that I may have. I understand this service is not a substitute for medical care.
I understand and agree to follow the recommended use and guidance I receive with the Aromatherapy products resulting from this consultation.
I understand that I am not being advised to take any essential oil products internally. I understand that I must keep all essential oil products out of the reach of children and pets. I understand that essential oils could be poisonous if swallowed and they may irritate the skin if not stored or used properly.
If I experience any irritation or discomfort from using any Aromatherapy products I receive from this consultation, I will stop use and alert Lindsay Blotzer immediately. If any children or pets ingest these products, I will call poison control immediately.
I hold my Aromatherapy consultant, Lindsay Blotzer, harmless for any injuries or negative effects I may experience as a result of using the products I receive from this consultation.
I understand that Lindsay Blotzer upholds the highest standards of care and professionalism and she abides by the National Association for Holistic Aromatherapists Code of Ethics.