• APPOINTMENT FORMS!

    PLEASE SIGN & PRINT . BRING WITH YOU THE DAY OF YOUR SCHEDUALED APPOINTMENT.

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    • Client Agreement and Waiver
    • Professional & Platonic Nature

    I understand that the services I am consenting to are for the purpose of relaxation, coaching and the relief of tension in many different modalities.
     

    I understand that a holistic treatment is not a substitute for a medical examination, diagnosis or treatment.

     

    We meet bi-weekly, either in person or virtually, for 90 minute sessions. For clients who don’t live locally and need to make a longer drive, I offer monthly 3h sessions as an alternative.

    Activities in session can range between talking (coaching) to experiential work that utilizes the tools of breath, movement, sound, and touch. Clients are empowered with choice at all times and are in full control over which activities are explored.

    Sessions generally begin with a check-in, intention setting, and proceed to some experiential exercises that are relevant to the client’s intentions. We wind down about 15-minutes prior to the end of the session to leave time for grounding, debriefing, and questions.

    As a holistic Bodyworker, I am trained in full body touch. All touch is mutual with respect & convent, from practitioner to client, and Clients may request touch in the context of certain practices. All touch is guided by the client, and we hold space for all the complex emotions and physical responses that may arise in the process of doing this work .

     

    If you wish you touch your own body while you’re are receiving touch, that is fine .

    It is not welcome for you to reach out and touch any part of my body without checking in. Likewise, it is not welcome for you to gaze at any part of my body in an uncomfortable manner .

    Ongoing Consent 

    Any and all touch requires the enthusiastic consent of the client. If anything feels uncomfortable, or if you change your mind about something mid way, DO let me know and we will adjust our activities accordingly.

     

    Your Boundaries

    Your boundaries are an important piece of our work together. I welcome you to share the things that are uncomfortable for you, or that you don’t wish to do. This is vital in creating a safe space where you can explore your yes-es as well as your no-s.

    My Boundaries

    I am here to hold space for you and I check my own energy at the door.

    This means I am friendly but will not flirt with you, talk dirty with you, or engage in any other exchange where I become anything more than your practitioner.

    I define my role as a facilitator and guide, not as a your partner. Your erotic energy may become activated during the session, and it is important that you hold it and take responsibility for it as your own. This is about your wellbeing & wellness journey with your mind body spirit . I will not hold any projections or become eroticized in this process.

    Likewise, I will not become sexually or romantically involved with clients during or after the course of our sessions. This includes going for “casual” drinks with “no expectations”.

    Individuals - 90 minutes

    In person

    A combination of wellness coaching, body based practices and optional touch-based work

    $250 + HST

    Bodywork

    We start with a quick check-in, and clarify our intentions for the session. The aim is to spend the bulk of the session on the massage table, however some clients may benefit from some brief breathwork and movement practice to prime the body for receiving. Once you are on the table, you have the opportunity to receive conscious, full body touch. All touch always occurs at your request and consent, and there are never any surprises. We may choose to devote the session to a variety of intentions such as: practicing conscious receiving, communication, body mapping, or genital dearmouring. There is no expectation regarding how your body should respond, and all responses are welcome. This is a unique opportunity to receive one-way touch, and simply focus on your own journey and process. Bodywork ends with some quiet time for savouring and integration, and we leave time at the end to chat and debrief.

     

    How many sessions do I need?

    This depends on the individual and the unique intentions being explored. Generally speaking, most people benefit from a handful of sessions, followed by a few VARING sessions. It is strongly recommended for most people to begin with HOLISTIC coaching, unless they have a solid foundation in HOLISTIC and/or SOMATIC practices.

    Appointments can be spaced out weekly, bi-weekly, or monthly.

    There is usually a wait time of several weeks. When booking, aim to reserve several sessions at a time to avoid long wait times in between. If you’d like to get on the waiting list to be notified of last minute cancellations.

     

    I'm curious about this work but nervous about being naked/receiving touch.

    That's ok! There is never any pressure to be naked, you will be draped and/or receive touch if it doesn't feel right for you in the moment. A big part of this work is learning to recognize your own boundaries and honour your needs. If your preference is to do non-touch based exercises, that is perfectly alright.

    If/when you decide to do cuddle therapy or bodywork, ongoing consent will be negotiated throughout each exercise. You are always welcome to stop or renegotiate exercises midway, should you feel uncomfortable or overwhelmed.

     

    Touch therapy sessions are 100% platonic. I understand that both received and given touch will be CONSENTUAL & non-sexual

    I understand that ANY MONIES EXCHANGED ARE SOLEY FOR SESSION TIM, AND SOLICITION OF ANY KIND IS NOT permitted

    I agree not to make comments about the service provider's physique

    Should the therapist interpret any of my actions as inappropriate or threatening, they reserve the right to terminate the session immediately with no warning or refund

    • I understand that our relationship is a professional dynamic and will only contact the practitioner to discuss relevant details
    • Health & Safety
    • I will notify the practitioner if I am not feeling well and may be contagious
    • I agree not to record or photograph the practitioner without written consent
    • I am responsible for communicating my boundaries or special needs
    • I agree to come to our sessions having taken a shower within 24 hours
    • I understand that the Cuddler may use a “Safety Buddy” system where they will share the meeting address and notify them when the session has finished
    • I agree to present photo ID to the Cuddler upon request

     

    Booking & Payment

    • I understand that deposits are required at time of booking & payment is required before each session begins.
    • Cash or Cash App are accepted
    • I understand that late arrival will result in losing time from my session with no refund, and that I am encouraged to arrive 5-10 minutes early if I need to fill out any additional paperwork.
    • I understand that there is a zero tolerance policy for no-shows and will be refused service in the future if I fail to communicate that I am not coming
    • Less than 24 hour notice of cancellation will result in non refund of electronic payment, or a 20$ fee for next booking for those paying with cash
    • Notice, Waiver, and Release of Liability: Please read carefully
    • I, “Client” understand that participation in any of the activities described as any and all professional holistic wellness sessions (hereinafter “activity”) is completely voluntary and at my own risk. I make this release and waiver in consideration of being permitted to participate in such Activity. By signing this waiver, I agree to assume full responsibility for an injury or injuries, both physical and mental, death, loss, or damage that I may sustain in the Activity AND I WAIVE ANY AND ALL LIABILITY AND ANY RIGHT OF ACTION, WHETHER LEGAL, EQUITABLE OR IN ANY OTHER FORM, AGAINST RELEASED PARTIES (DEFINED BELOW). I am aware that there are risks involved with my participation in the activity that could result in injury to me requiring medical attention, death or or property damage or any other loss and

    I HEREBY FOREVER RELEASE AND HOLD HARMLESS all others, including but not limited to, Presence Anna hunnicutt & gold lotuz wellness or Holistic Nirvana, ALONG WITH any agents, representatives, staff, any colleagues, employees, officers, or directors thereof; any of the facilitators and/or professional holistic practicioners in or outside the building including but not limited to Cuddler's participating in the Activity and any agents, representatives, employees, officers, and directors thereof )TOGETHER, THE “RELEASED PARTIES”); from any liability for any and all damaged whatsoever. I understand that this waiver will be used against me and anyone else claiming damages, losses, or liability against ANY RELEASED PARTIES. Please Note that only holistic weight-loss, Anti aging, Chakra Balancing, Cuddle Therapy,spa treatments such as body work, hydrotherapy, body polishes, mud masks and facials are the only type of therapy services or techniques offered at this time. • Touch therapy sessions are 100% platonic. I understand that both received and given touch will be non-sexual Consentual and non-erotic, and non-romantic

    . The parts of the client’s body that will be treated or the areas of the client’s body that will be avoided during the session, including indications and contraindications. (This section/area will indicate the actual parts of the client’s body that will be massaged or areas to be avoided.

    Please note that the therapist shall drape the breasts of all female clients and not engage in breast massage of female clients unless the client has provided written consent before “each session involving breast treatment”.

    Draping of the genital area and gluteal cleavage will be used at all times during the If you are uncomfortable for any reason, please ask the therapist to cease the session immediately.

    As always your therapist will adjust the pressure being used , at any time , for your comfort. Please be mindful that asking for a modality to be adjusted is not the same as asking to end the session.*

    Please remain respectful, and remember that the therapist may end the session if the he/ she feels uncomfortable for any reason.

    The therapist, has the right to refuse service, or end the session immediately if any client initiates any verbal or physical contact that is sexual in nature.

    By booking an appointment , you agree you have read this agreement, and accept the terms set forth, that will be binding in any court of law in texas , I the therapist & you the client and the licensee mutually agreeing to be bound to this agreement:I do my best to keep Gold Lotuz Wellness a scent-free environment. I cannot control whatever "air fresheners'' are used in other areas of my building. I do use lavender essential oils\aromatherapy in my services, ever. For the same reason, I also ask that my clients do their best to arrive at their appointments as scent-free as possible avoiding perfumes, colognes and cigarette smoke-- this one is a huge migraine trigger for me. I appreciate you waiting until after you've left my office to apply your favorite scents, so that I may be free to continue my day serving other clients migraine-free. Please initial below to indicate that you understand this small, but significant, request, and that you will do your best to comply. by booking an appointment I understand and will do my best to not arrive to my appointments with cologne, perfume, cigarette smoke, or other scents on me.

    Breast Treatment statement:

    Per Texas state regulations, I must include the following statement: "I shall drape the breasts of all female clients and not engage in breast touch unless the client gives written consent prior to providing breast treatment." That said, it is my policy that I shall drape the breasts or chest area of ALL clients, and shall not engage in touching of the breasts or chest area of ANY client unless specifically requested and consent is obtained prior to each session in which it is to be included. By booking an appointment I indicate my understanding of this statement.

    I understand that no breast touch will be performed without my written consent.

    Draping statement:

    Per Texas state regulations, I must include the following statement:

    "Draping of the genital area and gluteal cleavage will be used at all times during the session for all clients." That said, here is my policy: Unless a client chooses to remain clothed, all clients will be modestly draped throughout each session. Only the area to be worked on will be undraped at any time, to be re-draped prior to moving on to the next area. If you are particularly hot-natured, please discuss this with me PRIOR to your first appointment so that I can make note of it and ensure that I have a lighter drape available for your sessions. Loose clothing may be recommended for your sessions. By booking an appointment I understanding of this statement:

    I understand that I will either remain clothed or draped throughout my sessions. Unless I am alergic to certain cloth.

    Statement of client's right to end the session:

    Per Texas state regulations, I must include the following: "If you are uncomfortable for any reason, you may ask me to end the session and I will do so immediately." That said, I ask that you inform me of ANY discomfort you are experiencing, be it physical, emotional, or otherwise. I will do my best to ensure your safety and comfort at all times, adjusting positioning, bolstering, pressure, area of focus, or stopping the treatment altogether at your request.

    Please initial below to indicate your understanding of this statement:

    By booking an appointment I understand that I have the right to have you end the session if I am uncomfortable.

    "Zero tolerance" statement:

    In the same vein, I as the therapist have the right to stop the massage if I feel uncomfortable with the progression of the session. I have a zero tolerance policy for inappropriate behavior, including but not limited to: inappropriate or blatantly sexual comments or actions, solicitation of sexual services, requests to massage the genitalia, if I feel that my safety is in danger, and/or overall inappropriateness, sexual or not. If I determine that I need to end a session for any of these or other reasons, I will inform you that "this session is over," the full session fee shall be required regardless of how long the session lasted, and you will not be allowed to book with me in the future.

    As a reminder, it is illegal in the state of Texas to solicit for sexual services.

    Please READ CAREFULLY below to indicate your understanding of this statement:

    By booking an appointment I understand that my session will be stopped and I will have to pay the full price for the session if I engage in inappropriate behavior.

    CONSENT FOR TREATMENT:

    Please check the boxes below to indicate your understanding of the following statements and your consent to receive massage from Anna V Hunnicutt LE, HH of GOLD LOTUZ WELLNESS.

    By booking an appointment I understand that ANY WELLNESS OR SPA TREATMENTS are provided as a means of comfort and relaxation only and is not intended to diagnose or cure any disease or condition, and that the holistic practitioner is not able to provide me with medical advice or mental health advice (counseling). TO BE TAKEN OVER THE ADVICE OF MY REGULAR ATTENDING PHYSICIAN.

    I have listed all medical conditions, medications, treatments I am receiving, and other considerations to the best of my ability. I understand that my medical and personal information will be kept confidential. I will inform Anna V Hunnicutt LE, HH of GOLD LOTUZ WELLNESS. if my medical condition, medications, treatment plan, or if my reasons for seeking holistic wellness change. By booking an appointment

    I agree that I will inform Anna V Hunnicutt LE, HH of GOLD LOTUZ WELLNESS.

    If at any time I feel uncomfortable or that my well-being is compromised.By booking an appointment

    I have read, understand, and consent to all statements and policies herein listed, as indicated by my BOOKING AN APPOINTMENT. I FURTHER acknowledge that ONCE i HAVE BOOKED MY APPOINTMENT , I HAVE AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS CONTACT.

    Dear Valued Future Client,

     

    Patient

    RELEASE AND WAIVER AGREEMENT

    Cuddle | Spa Treatments | Bodywork Therapy:

    Agreement Waiver Form Platonic In Nature

    • Touch therapy sessions are 100% platonic. I understand that both received and given touch will be non-sexual, non-erotic, and non-romantic

    • I understand that pelvic thrusting/ humping, touching in the bathing suit areas, or purposely becoming aroused is not permitted

    • I agree not to make comments about the holistic therapists physique

    • Should the therapist interpret any of my actions as inappropriate or threatening, they

    reserve the right to terminate the session immediately with no warning or refund

    Health & Safety

    • I will notify the Cuddler/holistic therapists if I am not feeling well and may be contagious

    • I agree not to record or photograph the cuddle therapist without written consent

    • I am responsible for communicating my boundaries or special needs

    • I agree to come to our sessions having taken a shower within 24 hours.

    • I understand that the Cuddler/holistic therapists may use a “Safety Buddy” system where they will share

    the meeting address and notify them when the session has finished

    • I agree to send photo ID to the Cuddler/holistic therapists upon booking a session.

    Booking & Payment

    • I understand that payment is required before each session begins

    • I understand that there is a zero tolerance policy for no-shows and will be refused

    service in the future if I fail to communicate that I am not coming

    • If a deposit was collected a 100% refund will be available for those who cancel more

    than 24 hours before appointment. Less than 24 hours will be non-refundable

    Noice, Waiver, and Release of Liability: Please read carefully

    I, “Client” understand that participation in the activity described as professional touch therapy or cuddling sessions (hereinafter “activity”) is completely voluntary and at my own risk. I make this release and waiver in consideration of being permitted to participate in such Activity. By signing this waiver, I agree to assume full responsibility for an injury or injuries, both physical and mental, death, loss, or damage that I may sustain in the Activity AND I WAIVE ANY AND ALL LIABILITY AND ANY RIGHT OF ACTION, WHETHER LEGAL, EQUITABLE OR IN ANY OTHER FORM, AGAINST RELEASED PARTIES (DEFINED BELOW). I am aware that there are risks involved with my participation in the activity that could result in injury to me requiring

    medical attention, death or or property damage or any other loss and

    I HEREBY FOREVER RELEASE AND HOLD HARMLESS all others, including but not limited to, Anna Hunnicutt or Holistic Nirvana Cuddle Therapy, ALONG WITH any agents, representatives, employees, officers, or directors thereof; any of the facilitators and/or professional Cuddler's /holistic therapists participating in the Activity and any agents, representatives, employees, officers, and directors thereof ) TOGETHER, THE “RELEASED PARTIES”); from any liability for any and all damaged whatsoever. I understand that this waiver will be used against me and anyone else claiming

    damages, losses, or liability against ANY RELEASED PARTIES.

    This release and waiver agreement shall be interpreted under Texas law and venue for any legal action arising from the Activity shall be San Antonio, Texas.

     

    Section 1.

    Certification of Identity: I certify that I am: (a) At least 18 years of age, (b) Not acting in the capacity of a reporter or agent for any form of news media, (c) Not a registered sex offender, and (d) I have not been convicted of a violent crime.

    Section 2.

    Safety and Comfort: I agree to hold this cuddle session in a clean, safe, secure, and comfortable environment. I understand that Annat may decline to provide or terminate a session at her sole discretion and for any reason, including but not limited to reasons of comfort or safety, at any time.

    Section 3:

    Nonsexual Environment: NO SEXUAL ACTIVITY SHALL BE PERMITTED.

    I agree to remain clothed in my bikini areas, and behave in a non-sexual manner at all times. I understand that, although intimate, sessions are strictly platonic and non-sexual.Holistic hands-on bodywork that has been developed by holistic healers since the beginning of time over decades. This sacred practice incorporates the essence of shakti, or energy. When skillfully incorporating this universal force into healing, it can touch the deepest layers and aspects of a human being and be a profound instrument of spiritual and emotional healing. Most notably, holistic healing is believed to remove energetic blockages

    Section 4.

    Voluntary Participation; Respect for Boundaries: I agree that (a) my attendance at this session is voluntary and for my personal enjoyment only, (b) I will not engage in any non-consensual touching, badgering or intimidation of any kind, (c) I am/will refrain from taking drugs or alcohol before, and be sober during, my session, and (d) I will comply with any and all federal, city, state or county laws, statutes or regulations during my session. I understand it is my responsibility to know and communicate my general state health and any conditions or special limitations that may affect my session.

    Section 5.

    Payment, Reschedule & Cancellation: Payment is expected at the start of each session before you change into your freshly laundered cuddle attire. 50% deposit is required to book an appointment. If no deposit is received, no appointment will be accepted on my calendar.

    The remaining payment can be made online or paid in cash at the time of the session. I understand that if a situation arises in which I must cancel my appointment, I need to provide at least 24 hours notice. Cancellations and re-scheduled session will be subject to a full charge if NOT RECEIVED AT LEAST 24 HOURS IN ADVANCE. This is necessary because a time commitment is made to you and is held exclusively for you. If you are late for a session, you may lose some of that session time.

    Section 6.

    Indemnification & Waiver of Liability: I hereby agree to release, waive, hold harmless, and indemnify Anna or Holistic Nirvana from any and all claims, loss, liability, costs, or damages to personal or physical property, of any nature, whether known or unknown, in law or in equity, which may arise in, from, or related to the course of any cuddle session or any other services provided to me by Anna or Holistic Nirvana

    Section 7.

    Assumption of Risk: I assume full responsibility for any risk of bodily injury, illness, psychological or emotional harm, death, or property damage, to myself or others, arising from my attendance or participation in this cuddle session and any cuddle sessions or any other services provided to me by Anna or Holistic Nirvana , whether caused by any participant in the cuddle session or otherwise. Without limiting the foregoing, I acknowledge and understand that this session may explore new emotional concepts and may involve situations in which I feel uncomfortable, and willingly assume that risk.

    Section 8.

    Safety: I understand that our session and identities will be kept confidential. However, I also understand that for security reasons, my address and contact information will be made available to a trusted 3rd party who will access the information if necessary.

    Section 9:

    Social Media & Confidentiality: Due to the importance of confidentiality and the importance of minimizing dual relationships, I understand that Anna or Holistic Nirvana does not accept friend requests or public contact from current or former clients on her personal Facebook profile (you are welcome to Like Gold Lotuz Facebook business page, Follow @Holistic Nirvana on Instagram and Connect with me on Linkedin). Mutual respect of privacy and the confidentiality of our personal information are extremely important. I also want to honor the boundaries of our therapeutic relationship so if you have questions about this, please bring them up when we meet and we can discuss further. We can establish warmth and friendliness, but we cannot become personally involved outside of the therapy setting. If we are already connected on social media, we can certainly keep the connection. In order to protect your confidentiality, should we happen to bump into each other outside of the therapy setting, I, Anna or GOLD LOTUZ OR Holistic Nirvana , will only acknowledge that I know you if you choose to greet me first, in which case I will respond in kind and refer to you as a client.

    I HAVE READ AND FULLY UNDERSTOOD THIS RELEASE AND WAIVER OF LIABILITY, AGREE TO AND/OR ACKNOWLEDGE THE TERMS, REPRESENTATIONS, AND INFORMATION SET FORTH ABOVE, AND FREELY AND VOLUNTARILY AGREE BY BOOKING AN APPOINTMENT.

    I UNDERSTAND THAT BY BOOKING AN APPOINTMENT I MAY BE GIVING UP SUBSTANTIAL RIGHTS AND I INTEND MY CONTACTING GOLD LOTUZ IN ANY WAY AND MY APPOINTMENT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.We collect information from you when you register on our site, place an order, subscribe to our updates, respond to a survey or fill out a form.
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