GUEST POLICIES
Rules and guidelines help us manage our expectations so we can be thoughtful and considerate of others. Please contact us at laura@puremelodicvibes.com so we can answer any questions or concerns you may have regarding these Policies.
Payment
Full payment for sessions must be paid upon booking. If for any reason, you are unable to attend your session, you may reschedule or cancel within 24 business hours of your appointment time.
Cancellation
In consideration of others awaiting appointments, you are responsible for providing 24 business hours notice if you need to cancel or reschedule your appointment. If less than 24 hours notice is given, you will be charged the full amount of the scheduled appointment. Legitimate emergency situations are an exception to this policy and other circumstances at Pure Melodic Vibrations’ LLC discretion.
Participation in Services
- I understand that the staff at Pure Melodic Vibrations are not licensed physicians.
- I understand that participating in any type of alternative healing is for the use of relaxation and therapeutic wellness purposes only and does not constitute providing medical advice or professional services.
- I understand that alternative healing is not a means for treating any existing medical condition nor for diagnosing any potential medical conditions, which should be done by a licensed medical professional.
- I understand that any information provided by practitioners at Pure Melodic Vibrations LLC should not be used for diagnosing or treating a health problem or disease, or to replace or overrule a qualified health care provider's judgment. I will seek the advice of my doctor or other qualified health provider regarding a medical condition.
- I understand that alternative healing is not an exact science, the same as medical approaches are not an exact science. Medical diagnosis is based on a totally different model than is used by practitioners at Pure Melodic Vibrations LLC.
- I understand that any request for medical history information does not imply, in any way, the practice of medicine or medical diagnosis of a client's condition by any staff member of Pure Melodic Vibrations LLC.
- I understand that I, the undersigned, accept full responsibility for my health and voluntarily complete this release and waiver of liability form.
- I certify that I am seeking the services of Pure Melodic Vibrations LLC for:
- a) Consultation, coaching, or presenting on the subjects of holistic health, alternative health practices (such as but not limited to homeopathy, whole food and herbal supplements), wellness and nutritional matters intended for the maintenance of the best possible state of overall health and wellness. I acknowledge and agree that these services are considered to be for educational purposes only.
- b) Vibrational Medicine - I acknowledge and consent that qualified staff at Pure Melodic Vibrations LLC will combine modalities such as but not limited to Reiki and Energy of Life (which can involve the practitioner using their bare hands - with my permission), BioMorphic Geometry, crystal/gemstone therapy, sound therapy and essential oils on applicable and appropriate areas of my body.
- c) Sound bath - I acknowledge and consent that qualified staff at Pure Melodic Vibrations LLC will use sound therapy tools such as but not limited to singing bowls, tuning forks, chimes, bells and binaural beats.
- I understand the potential risk of ‘negative’ side effects include, but are not limited to, headache or stomach ache/nausea, dizziness or feeling weak. If this happens, it is a good idea to drink more water, eat lighter meals and get more rest. The body is cleansing as part of the healing process so this is a good sign.
- I understand that staff at Pure Melodic Vibrations LLC maintain a strict policy of prohibiting the exposure or touching of genitalia and women’s breasts during any session.
- I understand that Reiki involves a hands-on approach to send energy to me during the session and I can ask for the session to be completed without touch.
- I understand that long term imbalances sometimes require multiple sessions in order to facilitate the level of relaxation needed by the body to heal itself.
- I understand that I will be treated with respect and my sessions are 100% confidential unless I am going to hurt myself or someone else.
- I understand that any inappropriate behavior and/or language by me (including, but not limited to, sexual remarks, sounds or advances) will result in the immediate termination of the session and I will be liable for payment in full of the cost of the scheduled treatment. Laura Piccolo (owner of PMV) reserves the right to refuse services in the event I am unable to conduct myself in a professional and mature manner.
- I fully understand that the services provided by Pure Melodic Vibrations are not designed or intended to diagnose or cure a medical condition or to serve as a substitute for diagnoses or treatments determined by a licensed medical doctor, chiropractor, physical therapist, and/or any other licensed specialist, and I represent and warrant that I am not seeking the services for medical diagnostic or treatment purposes.
- I certify that with respect to any medical conditions or concerns I may have, I have been advised to consult with my licensed primary care physician. I also understand that it is my responsibility to discuss any and all information provided during holistic health consultations and coaching with my primary health care provider or any other health care providers/specialists whose care I may be under. All information received by me from Pure Melodic Vibrations is accepted with full knowledge that any action or inaction taken by me as a result of the information received is my complete responsibility.
- I certify that all information provided by me to Pure Melodic Vibrations with respect to my physical, mental and nutritional health is complete, truthful and accurate.
- I, on behalf of myself and my successors, heirs, and assigns, hereby release and hold harmless Laura Piccolo and Pure Melodic Vibrations, LLC, and their respective representatives, agents, employees, successors, heirs and assigns, from and against any and all liabilities, losses (including death, personal injury and illness, including COVID-19), damages, costs, expenses and any other claim relating to or arising from my involvement with Laura Piccolo and Pure Melodic Vibrations, LLC.
Notice Informing Individuals About Nondiscrimination and Accessibility Requirements and Nondiscrimination Statement: Discrimination is Against the Law
Pure Melodic Vibrations LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, citizenship, alienage, religion, creed, sex, pregnancy, sexual orientation, gender identity, age, or disability. Pure Melodic Vibrations LLC does not exclude people or treat them differently because of race, color, national origin, citizenship, alienage, religion, creed, sex, pregnancy, sexual orientation, gender identity, age, or disability.
If you believe that Pure Melodic Vibrations has failed to provide these services or discriminated in another way on the basis of race, color, national origin, citizenship, alienage, religion, creed, sex, pregnancy, sexual orientation, gender identity, age, or disability, you can file a grievance with Pure Melodic Vibrations LLC in person or by mail or email. If you need help filing a grievance, Pure Melodic Vibrations LLC is here to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights (OCR), electronically through the Office for Civil Rights Complaint Portal, available at: https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW Room 509F,
HHH Building Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Or by contacting the OCR New England Regional Office at:
Office for Civil Rights U.S. Department of Health and Human Services
Government Center
J.F. Kennedy Federal Building - Room 1875
Boston, MA 02203
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at: www.hhs.gov/hipaa/filing-a-complaint/index.html.