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Energetic Health Assessment

Personal Details, Medical History and Indemnity
Stress Or Trauma? Required
Habits? Required
Chronic pain? Required
Have you had any? Required
Chronic medication? Required
Have you been Covid-19 vaccinated? Required
Do you have? Required
Do any of the following physical conditions currently affect you? Required
Do any of the following Mental/Emotional conditions currently affect you? Required
How spiritually open are you ? Required

Confidentiality Clause

Everything discussed within the confines of the time of our work together, shall remain confidential and shall not be divulged to any third party by you or your therapist.

 

Cancellation Clause

I agree to give a minimum of 24 hours cancellation notice if the session is to be cancelled or changed. Failure to do so will result in full payment of the missed session.   

 

Indemnity

I undertake this treatment of my own accord and accordingly indemnify the therapist from any harm, loss or damages of any nature, whether bodily harm, trauma or any other damages to my person or property resulting from the treatment, whether directly or indirectly. 

 

Bookings

This form has to be completed before a session and all conditions need to be accepted. 

POPIA

We don't store/share information that our clients entrusts us with. If you join our mailing list you can unsubscribe at any time.

Covid-19 health Declaration Required

Thanks for submitting!

Contact us

BertoVoigt © 2023

18 Avon Road 

Sherwood Cottage

Little Chelsea

Diep River

Cape Town

7800

Mon to Friday: 9am- 5 pm

Saturdays by appointment

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Our Refund Policy:

 

Due to Covid-19 regulations returns on goods will not be accepted. All products are energetic in nature and are made with intention and integrity. Faulty items can be returned in its original state. Essence Energetics take pride in sourcing and manufacturing goods made with the highest possible quality. Since the majority of our art pieces are one-off, unique originals, these items will not be accepted as returned goods.

 

EssenceEnergetics reserves the right to refuse any return.

 

Customers are responsible for return shipping charges. If there is a mistake on our part i.e. damaged or lost goods, we will reimburse customers using the same method of original purchase. We will not, however, refund international duties or taxes.

Your information:

We don't store or use tracking or cookies to track client behaviour. We practice the philosophy of non-attachment. 

Berto Voigt

0825567400
bertovoigt@gmail.com

Tamar Victoria

0817279939

tamaressence@gmail.com

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