Catch All Consent Form

I understand that a healing session provided by Eloise Ansell is intended to enhance relaxation, increase communication within areas of the body, and to educate me to possible energetic or emotional blocks that may create pain and disease.

I understand that a Bars® session provided by Eloise Ansell is intended to enhance relaxation & by gently touching points on my head may help to release the electromagnetic charge of all thoughts, ideas, attitudes, decisions, and beliefs that I may hold.

I acknowledge that the modalities used are non-invasive, safe, and objective and that they utilise the body’s own innate intelligence to re-establish communication within itself.

I understand that participation in a session with Eloise is voluntary and that at any time I may choose to end my participation.

I understand that so called detoxification symptoms or release during the 24-48 hours following the session may be experienced, particularly if you have been experiencing chronic or heightened levels of stress.

I understand that sessions are not a substitute for medical treatment or medications.

I am aware that Eloise Ansell does not diagnose, nor does she prescribe medication.

I am aware that any medical issues or concerns should be addressed with a qualified doctor.

I understand that information exchanged during any session is educational in nature and is intended to help me become more familiar and conscious of my own health status and is to be used at my own discretion.

I accept full responsibility for my own wellbeing and understand that any decisions or changes I make following a session are my responsibility.

I agree to pay the full session fee whatever the length of the session (sessions may be shorter than the scheduled time).

I understand that Eloise may record and keep audios of sessions for her professional records. These recordings are confidential and will not be shared without my written consent. And that they will be available to me for two weeks for remote sessions.

I agree that my email may be added to Eloise’s mailing list to receive updates and marketing emails about her services. My data will be kept safe, never shared with third parties, and I can unsubscribe at any time.

I understand that for a free cancellation for in-person or distance (remote) sessions, I will inform you (preferably by text/WhatsApp, or email if not) at least 24 hours prior to the appointment. 

Cancellations made with less than 24 hours’ notice will incur a charge of 50% of the session fee. Missed appointments without notice will be charged at the full fee.

I understand that the information on this form and any information imparted during these sessions is strictly confidential in nature and will not be shared with anyone without my written permission.

General information, excluding my name and specifics, may be used anonymously to help others further understand the efficacy and application of the modalities Eloise teaches

Note - Eloise's full Data Protection Policy is available on her website.