THIS INFORMED CONSENT AND SERVICE AGREEMENT (“Agreement”) is made by and between ___________________________ [your name] (“Client”) and Elevate by Mia, LLC (“Consultant”).
RECITALS:
WHEREAS, Client desires to retain Consultant to provide services related to Astrological Reading and/or Sound and Energy Healing (hereinafter “Services”).
WHEREAS, Consultant has been certified by Life Changing Energy to provide Sound and Energy Healing, and is a graduate of Debra Silverman Applied Astrology to provide Astrological insights, and is qualified and competent to render the aforesaid Services pursuant to her certification(s).
NOW, THEREFORE, for and in consideration of the Agreement made, and the payments to be made by Client, the parties agree to the following:
Consultant’s purpose is simply to provide a safe space for Client to experience healing through natural processes. Consultant may consider the use sound, energy, herbs, essential oils, crystals and any other natural healing modality as a way to encourage Client’s body to get back to optimal functioning. Consultant makes no claims for the medicinal actions of Consultant’s methods, nor does she cite any medical authority. Any information offered is done so on the basis of personal experience, training, and traditional uses. Consultant’s scope of expertise is limited to Services for which she has been certified for, listed in the Recitals above. Consultant’s Services and natural healing modalities are not intended to diagnose, treat, cure or prevent any disease or medical condition. Consultant’s Services rendered to Client are not intended or implied to be, or a substitute for, professional medical or psychological advice, guidance, diagnosis or treatment. Results of Consultant’s Services vary with each individual and Consultant cannot guarantee that Client will experience results similar to testimonials, or any results at all. Client understands and agrees that everyone reacts to these methods individually and experiences results in their own time.
Client understands and agrees that:
• An initial assessment will be conducted by Consultant to determine the general health of Client’s energy system.
• Client’s session(s) will consist of a quick introduction before starting and a wrap-up afterwards.
• Any suggestion made by Consultant will be to assist Client’s body’s natural ability to achieve a balanced state, to the extent that Client’s body or Client’s highest knowing will allow.
• The goal of Client’s session will be identified as part of the initial process and Client will have input as well as give intent and permission for achieving the goal.
• Client will raise any questions or concerns about anything Client does not understand.
• Client will take full responsibility for Client’s own healthcare and wellbeing. Client is solely responsible for their own decisions and actions relating to Consultant’s services.
• By signing this Agreement, Client is consenting to: 1) Consultant conducting the Services purchased; and 2) the scope of those Services as indicated in Section 1 of this Agreement; and 3) Terms and Conditions.
• If Client desires Consultant’s Services to be modified in any way, Client is responsible for requesting any modifications or accommodations, which may be accepted or rejected by Consultant in her sole discretion.
• If Client wishes to end a session early, or Client experiences any results during a session that Client is uncomfortable with, Client is responsible for immediately informing Consultant of such result / desire.
• Client will consult with their physician and get approval to receive Services if Client has any known or suspected health conditions, including but not limited to, metal in their bodies, suffered concussions, a pacemaker, pregnancy, use of an insulin pump, etc.
• Client understands that Consultant’s Services are not medical treatment and Consultant does not diagnose illness, disease, or mental disorder. Nor does Consultant prescribe medical treatment or pharmaceuticals. Consultant’s Services are not a substitute for medical examination or diagnosis and that it is recommended that Client see a medical doctor for any physical or mental ailment.
• Client understands the nature of the Services and freely consents to receive the techniques.
Consultant’s fees for Services are listed on Consultant’s website. Client may purchase and book their Service either through Consultant’s website or by contacting Consultant. Consultant agrees to provide Services to Client after Client purchases the desired Service(s) from Consultant.
If Client needs to reschedule or cancel an appointment, notification is required at least 24 hours in advance to avoid a cancellation fee, which shall be the full session price of the Service booked. If Consultant needs to cancel an appointment, notification will be given to Client as soon as possible, and no cancelation fee will be charged to Client.
In general, a typical session begins with a short assessment to discuss the Client’s concerns, thoughts or questions. During the session the Client can choose to sit or lay down. While Consultant will try to make the Client as comfortable as possible, if Client has specific needs, Client is encouraged to bring their own yoga mat, pillow, or blanket, etc. Consultant makes every effort to assure that Client feels safe and comfortable.
Consultant’s Services may involve physically touching the Client’s body and / or the space above and around Client’s body. Therefore, Client must inform Consultant if there are any areas that Consultant should avoid, or if Client does not wish to be touched at all. Consultant’s work is intuitive, so she feels the energy and works where the energy is stagnant, deficient, stuck or unbalanced. Client may feel many different results such as heat or cold, shivers, nausea, headache, relaxation, release, relief, etc. Client may also feel nothing at all. Any reactions can happen immediately or even moments later. No reaction is positive or negative, it purely is. It may mean something to you right away or it could be a mystery for a while. Both are normal. Consultant finds that energy work has a cumulative effect, so when you treat yourself to regular sessions, better health and well-being are natural outcomes. At the end, Consultant will check in about anything that came up for Client during the session.
Consultant makes no guarantees, representations or warranties of any kind or nature, express or implied with respect to the Services negotiated, agreed upon, and rendered. Client acknowledges, agrees, and represents that Client understands the nature of the Services requested, and Client is accepting Consultant’s Services at Client’s own risk. Client understands that Consultant makes no claims as to the safety, results, or the appropriateness of any Service for any particular individual. Client understands and agrees that all suggestions and information given by Consultant concerning the Services received is neither diagnostic nor prescriptive and that Client should verify the same with their physician, and Client will evaluate such information and/or suggestions independently. Notwithstanding the foregoing, Client warrants and represents that Client is in good health and is able to participate in the Services without limitation.
Client agrees to waive and release, indemnify, hold harmless and forever discharge Consultant from any and all claims, clauses of action, damages, and liabilities, of every kind and nature, whether known or unknown, in law or equity, that Client has or may have arising from or in any way related to Client’s participation in the Services rendered by Consultant.
Consultant’s Services are provided in the State of North Dakota and this Agreement will be deemed to have been executed and delivered within the State of North Dakota, and the rights and obligations of the parties will be construed and enforced in accordance with, and governed by, the laws of the State of North Dakota without regard to principles of conflict of laws. Jurisdiction and venue with respect to any suit in connection with this Agreement shall reside in the courts of North Dakota.
This Privacy Policy discloses the privacy practices for the elevatebymia.com site and various related services (together referred to as the “site”). Elevate by Mia, LLC, the provider of the site (referred to as “us” or “we”), is committed to protecting your privacy online. Please read the information below to learn the following regarding your use of this site.
You acknowledge that this Privacy Policy is part of our Site Terms and Conditions of Use, and by accessing or using our site, you agree to be bound by all of its terms and conditions. If you do not agree to these terms, please do not access or use this site.
We reserve the right to change this Privacy Policy at any time. Such changes, modifications, additions or deletions shall be effective immediately upon notice thereof, which may be given by means including, but not limited to issuing an email to the email address listed by registered users and posting the revised Policy on this page. You acknowledge and agree that it is your responsibility to maintain a valid email address as a registered user, review this site and this Policy periodically and to be aware of any modifications. Your continued use of the site after such modifications will constitute your: (a) acknowledgment of the modified Policy; and (b) agreement to abide and be bound by the modified Policy.
1. Types of Information Collected
In order to better provide you with our numerous services, we collect two types of information about our users: Personally Identifiable Information and Nonpersonally Identifiable Information. Our primary goal in collecting information from you is to provide you with a smooth, efficient, and customized experience while using our site.
Personally Identifiable Information: This refers to information that lets us know the specifics of who you are. When you engage in certain activities on this site, such as registering for a membership, ordering a product or service, submitting content and/or posting content in discussion forums or other public areas, entering a contest or sweepstakes, filling out a survey, or sending us feedback, we may ask you to provide certain information about yourself by filling out and submitting an online form. It is completely optional for you to engage in these activities. If you elect to engage in these activities, however, we may ask that you provide us with personal information, such as your first and last name, mailing address (including zip code), email address, telephone number, and other personal identifying information. When ordering products or services on the site, you may be asked to provide a credit card number. Depending upon the activity, some of the information we ask you to provide is identified as mandatory and some as voluntary. If you do not provide the mandatory data with respect to a particular activity, you will not be able to engage in that activity.
Nonpersonally Identifiable Information: This refers to information that does not by itself identify a specific individual. We gather certain information about you based upon where you visit on our site. This information may include the Website's Uniform Resource Locator (“URL”) that you just came from, which URL you next go to, what browser you are using, and your Internet Protocol (“IP”) address.
2. Collection Methods and Use of Information
We do not collect any Personally Identifiable Information about you unless you voluntarily provide it to us. You provide certain Personally Identifiable Information to us when you: (a) register for our services and register your email address with us; (b) enter sweepstakes or contests sponsored by us or one of our partners; (c) sign up for special offers from selected third parties; (d) send email messages, submit forms or transmit other information by telephone or letter; or (e) submit your credit card or other payment information when ordering and purchasing products and services on our site. We may also collect information from you at other points on our site that state that such information is being collected.
In addition, we may also collect, or our third party ad server and/or content server may collect, certain Nonpersonally Identifiable Information. This information is ultimately stored in the form of store categories, and, in some cases, specific URLs. We use your IP address to diagnose problems with our servers, software, to administer our site and to gather demographic information.
We will primarily use your Personally Identifiable Information to provide our services to you, as required by our agreements with you. We will also use Personally Identifiable Information to enhance the operation of our site, fill orders, improve our marketing and promotional efforts, statistically analyze site use, improve our product and service offerings, and customize our site's content, layout, and services. We may use Personally Identifiable Information to deliver information to you and to contact you regarding administrative notices. We may also use Personally Identifiable Information to resolve disputes, troubleshoot problems and enforce our agreements with you, including our Site Terms and Conditions of Use, Informed Consent & Service Agreement, and this Privacy Policy.
3. Release of Information
We do not sell, trade, or rent your Personally Identifiable Information to others. We do provide some of our services through contractual arrangements with affiliates, services providers, partners and other third parties. We and our service partners use your Personally Identifiable Information to operate our sites and to deliver their services. For example, we must release your credit card information to the card-issuing bank to confirm payment for products and services purchased on this site; release your address information to the delivery service to deliver products that you ordered; and provide order information to third parties that help us provide customer service.
We will encourage our service partners to adopt and post privacy policies. However, the use of your Personally Identifiable Information by our service partners is governed by the privacy policies of those service partners, and is not subject to our control.
Occasionally we may be required by law enforcement or judicial authorities to provide Personally Identifiable Information to the appropriate governmental authorities. We will disclose Personally Identifiable Information upon receipt of a court order, subpoena, or to cooperate with a law enforcement investigation. We fully cooperate with law enforcement agencies in identifying those who use our services for illegal activities. We reserve the right to report to law enforcement agencies any activities that we in good faith believe to be unlawful.
We may also provide Nonpersonally Identifiable Information about our customers' sales, traffic patterns, and related site information to third party advertisers, but these statistics do not include any Personally Identifiable Information.
4. Updating and Correcting Information
We believe you should have the ability to access and edit the Personally Identifiable Information that you have provided to us. You may change any of your Personally Identifiable Information in your account online at any time by linking to your account in accordance with instructions posted elsewhere on this site. You may also access and correct your personal information and privacy preferences by writing us at:
Elevate by Mia, LLC
925 31st SW, Minot, ND, 58701
Or by email at mia@elevatebymia.com.
Please include your name, address, and/or email address when you contact us.
We encourage you to promptly update your Personally Identifiable Information if it changes. You may ask to have the information on your account deleted or removed; however, because we keep track of past transactions, you cannot delete information associated with past transactions on this site. In addition, it may be impossible to completely delete your information without some residual information because of backups.
5. User Choices on Collection and Use of Information
We may, from time to time, send you emails regarding our products and services. In addition, if you indicated upon registration that you are interested in receiving offers or information from us and our partners, we may occasionally send you direct mail about products and services that we feel may be of interest to you. Only Elevate by Mia, LLC (or agents working on behalf of Elevate by Mia, LLC and under confidentiality agreements) will send you these direct mailings and only if you indicated that you do not object to these offers. If you do not want to receive such mailings, simply tell us when you give us your personal information. Or, at any time you can easily edit your account information to no longer receive such offers and mailings.
You also have choices with respect to cookies, as described below. By modifying your browser preferences, you have the choice to accept all cookies, to be notified when a cookie is set, or to reject all cookies. If you choose to reject all cookies some parts of our site may not work properly in your case.
6. Security of Information
At our site you can be assured that your Personally Identifiable Information is secure, consistent with current industry standards. The importance of security for all Personally Identifiable Information associated with our user is of utmost concern to us. Your Personally Identifiable Information is protected in several ways. Access by you to your Personally Identifiable Information is available through a password and unique customer ID selected by you. We recommend that you do not divulge your password to anyone. In addition, your Personally Identifiable Information resides on a secure server that only selected Elevate by Mia, LLC personnel and contractors have access to via password.
Personal information that you provide that is not Personally Identifiable Information also resides on a secure server and is only accessible via password. Since this information is not accessible from outside Elevate by Mia, LLC you will not be asked to select a password in order to view or modify such information.
In order to most efficiently serve you, credit card transactions and order fulfillment are handled by established third party banking, processing agents and distribution institutions. They receive the information needed to verify and authorize your credit card or other payment information and to process and ship your order.
Unfortunately, no data transmission over the Internet or any wireless network can be guaranteed to be 100% secure. As a result, while we strive to protect your Personally Identifiable Information, you acknowledge that: (a) there are security and privacy limitations of the Internet which are beyond our control; (b) the security, integrity and privacy of any and all information and data exchanged between you and us through this site cannot be guaranteed; and (c) any such information and data may be viewed or tampered with in transit by a third party.
7. Cookies
When you use our site we will store cookies on your computer in order to facilitate and customize your use of our site. The cookies make your use of the site easier, make the site run more smoothly and help us to maintain a secure site. You are always free to decline our cookies if your browser permits, but some parts of our site may not work properly in that case.
8. Privacy Policies of Third Party Sites
Except as otherwise discussed in this Privacy Policy, this document only addresses the use and disclosure of information we collect from you. Other sites accessible through our site have their own privacy policies and data collection, use and disclosure practices. Please consult each site's privacy policy. We are not responsible for the policies or practices of third parties. Additionally, other companies which place advertising on our site may collect information about you when you view or click on their advertising through the use of cookies. We cannot control this collection of information. You should contact these advertisers directly if you have any questions about their use of the information that they collect.
9. Miscellaneous Privacy Issues
You must be at least 18 years old to have our permission to use this site. Our policy is that we do not knowingly collect, use or disclose Personally Identifiable Information about visitors that are under 18 years of age.
You should also be aware that when Personally Identifiable Information is voluntarily disclosed (i.e. your name, email address, etc.) in the discussion forums or other public areas on this site, that information, along with any information disclosed in your communication, can be collected and used by third parties and may result in unsolicited messages from third parties. Such activities are beyond our control and this Policy does not apply to such information. Any submissions to chat rooms or other public areas on this site are accepted with the understanding that they are accessible to all third parties. If you do not want your comments to be viewed by third parties, you are advised not to make any submissions. Ultimately, you are solely responsible for maintaining the secrecy of your password and/or account information. Please be careful and responsible whenever you are online.
If you have any questions about this Privacy Policy, the practices of this site, or your dealings with this site, please contact us at mia@elevatebymia.com.
Terms and Conditions: These terms and conditions apply to the purchase of services through elevatebymia.com. By purchasing services, you agree to accept services provided in North Dakota, U.S.A., and agree to be bound by and accept these terms and conditions. If you do not agree to these terms and conditions, you should not obtain services from this site. These terms and conditions are subject to change by elevatebymia.com (referred to as “us” or “we”) without prior written notice at any time, in our sole discretion. The latest version of the terms and conditions will be posted on this site, and you should review these terms and conditions prior to purchasing any services that are available through this site. Your continued use of the site after such modifications will constitute your: (a) acknowledgment of the modified Policy; and (b) agreement to abide and be bound by the modified Policy. You should also carefully review our Privacy Policy before placing an order for services through this site.
The website and all services offered are for educational purposes only. No content is intended to constitute medical authority, professional advice, whether medical, financial, legal or otherwise. Elevate by Mia, LLC and those posting or otherwise providing information, content or material on any service are not responsible or liable for any consequences relating directly or indirectly to any action or inaction you take based on the information, content or other material on the service, or information found on the website. The content is not intended to be a substitute for professional medical advice, diagnosis or treatment. If you have questions about a medical condition, please see your physician or other qualified health provider. Do no delay seeking professional medical or ignore your doctor's instructions due to information you find on this website. Reliance on information provided by this website is completely at your own risk. Any claims about the possible health benefits conferred by any services are not intended to diagnose, treat, cure, or prevent any disease. You agree to these terms and conditions by using the website or accessing/purchasing any of the services.
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Minot, North Dakota 58701
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Privacy Policy | Informed Consent, Service Agreement, Terms & Conditions | Cancelation Policy
