Assessment Foldersubmitted to accessor
Cover sheet
Divider
Therapist Profile
Divider
Reflective Essay
Divider
Business card
Divider
Business Card & Leaflet
Divider
Home care advice
Divider
Holistic Therapy Research
Divider
CPD Log
Layout & Content
Your name & course (double & Triple
diplomas just have one set- one does all)
x 2 plus another copy emailed to majella
x2
x2
sheet for client in general x 2
Copy of all talks on holistic therapies
CPD of any books read// other courses
taken// websites// health fairs etc// articles
you wrote// talks given?.
Ring Binder Lay out/Case Study Lay out-do not bind
Overall Case Study Cover Sheet
Therapist Profile
Reflective Journal
Divider
Case study One cover Sheet then Case
study
Divider
Case study cover Sheet then Case study
Divider
Case study cover Sheet then Case study
Divider
Case study cover Sheet then Case study
Divider
Case study cover Sheet then Case study
Green Tara Holistic College,
ITEC Diploma in Holistic Massage
Your Name, Your ITEC number, 2013
1
1
2
2
3
3
4
4
5
5
EQUIPMENT LIST
ANTISEPTIC HAND WIPES
Antibacterial hand gel
Bowl/dish for wipes (for individually wrapped wipes)
Equipment wipes
Small bottle water and cup on to of it – no glass allowed
Plasters
Tissues
Nail Clippers, Nail file
White Couch Roll
Pillow – for reflexology learners only – clean pillow case
Black face cloth or sweat bands if you need
______________________________________________________
Stationary Equipment
Clip board
Consultation Form
Client consent Form
Client Medical Disclaimer
Muscle indicating chart – holistic & sports massage only
Therapist examination Write up sheet – in this document
Highlighter markers, red white board marker, HB Pencil,
eraser, sharpner (clear pencil case only if you want one)
Clear Plastic A4 Polly Pocket (with address label on front with
your name, itec number, green tara college, course name, date)
Homecare Advise Sheet for examination – leave some blank
lines
Identification -Please bring photo ID with your examination name
to both writtens and practicals
Uniform
Full black shoes – low heels
Black socks
Trousers with crease at correct length as per tutor feedback
Black Uniform Top
ITEC Student Badge or ITEC qualified therapist badge
Hair scraped back in ballerina style, gel/hairspray, hairnet,
black hairband, hair off collar
Nails – short no nail polish on hands or feet,
No jewellery
No false tan
No visible pearsing or tongue pearsing
Gentlemen’s hair off the collar of the uniform
Green Tara Holistic College
Exam End of Treatment Form – Reflexology
Student Name__________________ Course Name _______________________
Consultation:
Clinical visual Observation
Presenting Condition(s)
Visual Observation of the feet
Treatment Plan
Treatment Details
How the client felt during and after the treatment
Homecare Advice (see attached )
Treatment Evaluation
Reflective Practice
Green Tara Holistic College
Exam End of Treatment Form – Holistic Massage
Student Name__________________ Course Name _______________________
Consultation:
Clinical visual Observation
Presenting Condition(s)
Treatment Plan
Treatment Details
How the client felt during and after the treatment
Homecare Advice (see attached )
Treatment Evaluation
Reflective Practice
Green Tara Holistic College
Exam End of Treatment Form – Holistic Reiki
Student Name__________________ Course Name _______________________
Consultation:
Clinical visual Observation
Presenting Condition(s)
Treatment Plan
Treatment Details
How the client felt during and after the treatment
Homecare Advice (see attached )
Treatment Evaluation
Reflective Practice
Green Tara Holistic College
CONFIDENTIAL - Consultation
Form
Name: _________________________________________
Occupation:______________
Address______________________________________________________________
_____________________________________________________________________
Doctors name & No___________________________ Are You Pregnant_________
Telephone: ___________________________Mobile__________________________
Age Range: 15-20 20-30  30-40 40-50 50-60 60-70 70-80 80-90
Email address: ________________________________________
List any Holistic Therapies that you have received before: ___________________
_____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
List any injuries (dates) ________________________________________________
_____________________________________________________________________
List any operations (dates)______________________________________________
_____________________________________________________________________
List any illness (dates)__________________________________________________
_____________________________________________________________________
____________________________________________________________________
List any mainstream or complementary/vitamin medicine that you are currently taking:
_____________________________________________________________
____________________________________________________________________
____________________________________________________________________
Do you have any of the following: diabetes_______ migraine________ epilepsy______
bladder complaints________ blood pressure__________ Heart________ Panic
Attacks________ Varicose veins________ depression______
thrombosis/phlebitis________ skin problems_________ arthritis_______
allergies_________ hepatitis_________ other______________________
How much water do you drink daily?________________________ Other?____________
Do you smoke ciggarettes?________ How many?____________
How often?_____________
How many units of alcohol weekly?_________________________________________
I declare that all of the information supplied on the client Consultation Form is
accurate, true and correct
Client Signature_______________________ Date________________