Complementary and Alternative Health Care Client Bill of Rights The following information is provided to you, as required by Minnesota Law. Please feel free to ask for clarification of this information if needed. 1. Services Provided by Theresa A. May and Heaven on Earth Healing Mind Body Integrative Medicine The Compass Center for Healing 116 E. Chestnut Street (lower level) Stillwater, MN. 55082 Heaven On Earth Healing (upper level of the Hillsborough 1 building) 2353 Rice Street, Suite 200 Roseville, MN 55113 Phone: 612-345-1537 Website: www.heavenonearthhealing.com Email: theresa@heavenonearthhealing.com t.may64@gmail.com 2. Education / Certification Master Hypnotherapy Master Practitioner of Humanistic Neuro-linguistic Psychology and Neuro Linguistic Programming Therapeutic Coach Reiki master/teacher Core Shamanism Qigong healer, Spring Forest Qigong level 4 & completed the SFQ Guide & teachers Certification Program Practitioner of Traditional Chinese Medicine, Asian Bodywork, Shiatsu Anma, Instructor of Tai Chi Chih and Spring Forest Qigong Meditation classes *The state of Minnesota and AOBTA approved professional training program for Asian Bodywork Therapists and Traditional Chinese Medicine. Minnesota does not currently offer state licensing requirements for Asian Bodyworkers. 3. Mission: “Supporting the evolution of life through personal transformation” “My passion is in working with individuals and organizations to improve our world through informing, inspiring and facilitating healing transformative experiences, through individual and group experiences, in-services, consulting and wellness program development to organizations.” “As a therapist, teacher and life long learner I have been privileged to witness profound transformations. Through these experiences I’ve discovered the key elements that are necessary for deep healing to occur. By applying the wisdom of eastern healing arts with progressive non-conventional talk therapies one can truly experience profound changes for their whole being, mind-body and spirit.” 4. Mentorship: I consult with other professionals within my scope of practice as needed. 5. As a Client you have the right to contact me with questions, concerns and complaints. 6. The State of Minnesota has not adopted any educational and training standards for unlicensed complimentary & alternative health care practitioners. This statement of credentials is for information purposes only. Under MN. Law, unlicensed complimentary and alternative healthcare practitioners may not provide a medical diagnosis or recommend discontinuance of medically prescribed treatments. If a client desires diagnosis from a licensed physician, chiropractor, or acupuncture practitioner, or services from a physician, chiropractor, nurse, osteopath, physical therapist, dietitian, nutritionist, athletic trainer, or any type of health care provider, the client may seek such services at any time.” You, as complementary and alternative health care client have the right to file a complaint. To the office of: Minnesota Department of Health, Health Occupations Program, Susan Winkelman, P.O. Box 64975, St. Paul MN. 55164 Phone 651282-6366. Holistic Services for Individual Therapy T.L.C. Transformational Life Coaching: Short-term solution based therapy and coaching, making it easier and more comfortable to heal the past, empower the present and design the future of your greatest dreams. Together we will bring awareness to the functions and purpose of the different levels of consciousness, how memories and perceptions change through time, how working to resolve limiting or conflicting values and beliefs are at the core of all powerful transformation. If you feel stuck in an area of your life or have destructive emotions, behavior patterns, addictions, phobias, or physical pain, and some medical conditions, or if you just want to develop a deeper understanding of who you are mind-body-spirit, then Transformational Life Coaching (which includes NLP, Hypnotherapy and more) can assist you on your next steps toward a better, healthier, happier you. In office & over the phone Skype consulting & coaching Qigong & Reiki Energy Healing: In Office or Skype: Distance Healing Sessions the possibilities are limitless. In person the practitioner transmits electro-magnetic waves that resonate to the level that restores cells back to health. Energy medicine is message healing, information healing. People recover more fully and sooner from surgeries or bone fractures, fatigue, anxiety, insomnia, carpal tunnel, bursitis, sprains, acute or chronic pain, blood pressure, thyroid conditions, digestive and elimination issues, dental work, infections, immune system imbalances, degenerative diseases, arthritis and cancer etc. It can be used for any physical, emotional, mental and spiritual conditions or concerns. Energy medicine is now accepted as a legitimate healing modality in many hospitals and clinics in the United States even though for centuries it has been used. Healing energy can be passed through touch and remotely through long distances. The effects can be subtle or profound. Some clients have noticed the benefits from just one session. For others the conditions gradually improve with each session. Visit Theresa’s website “healing stories” pages, for listings of client testimonials, and for more scientific information, IONS Institute for Noetic Sciences www.noetic.org. Energy medicine is safe for anyone of any age or with any condition. My training background is in: Qigong healer/teacher, Reiki master/teacher, and Reconnective healing. In office & over the phone / Skype Energy healing Shiatsu - Asian Bodywork Therapy: Where ever your present health status is shiatsu can always benefit. Shiatsu-Asian bodywork restores the body’s own ability to renew itself, harmonizing the internal forces that support healthy-functioning organs. Shiatsu moves the lethargic or stagnant, subdues the excessive and nourishes the depleted. Shiatsu helps remind the body to create balance and peace within. Asian bodywork is for everyone who needs to address imbalance from acute to chronic medical conditions or for those of you who just need to undo the stress of everyday and need self care time for rejuvenating and maintaining great health…. that covers just about everyone! I do various forms of Shiatsu; Namikoshi, Zen, Anma Shiatsu, Tuina, Jin shin do a very gentle holding points energy/bodywork, Ampuku Chinese stomach massage, Foot Reflexology, Sooji Hand Therapy, Guasha deep rubbing dispersing technique, Cupping dispersing technique that pulls toxins out of the body and Moxibustion burning herbs over specific meridian points for warming & tonifying the body. All these therapies are based on Traditional Chinese Medicine or TCM. Tongue and pulse diagnosis are a part of most treatments. They are both considered bodywork and energy work because they treat the meridians. In office or on location Appointment Office Hours Please call first to schedule your appointment time and office location preference. Some services are limited by location. What You Can Expect from these Therapies Transformational Life Coaching Hypnotherapy NLP Regression Therapy Short-term solution based therapy and coaching, that makes it easier and more comfortable to; heal the past become more resourceful in the present and approach your desired future more effortlessly. During your 1st visit you will gain a better understanding of levels of consciousness, conflicting or incongruent perceptions, supportive or limiting perceptions; beliefs, values, decisions, and judgments, your consciousness and how it relates to time and space, inducing emotions and behaviors, how information gets stored and how emotions and behaviors are responses stemming from present and past strategies or programmed beliefs and values. We will also discuss and set up communication of the conscious / sub conscious and unconscious mind. Your 2nd visit is about gaining clarity of what you don’t want and discovering what you do want through a 4 step process that will help you get very clear about the direction you want to move into. The 3rd visit, we’ll begin doing the change work intervention process. During your first visit you should allow for up to one hour. The second and third visit you allow for 1 ½ to 2 hours per session. NLP, Regression and Hypnosis are therapies that do not stop midstream of the change-work process, this allows for you and I to respond to golden opportunities for learning, growing and finishing a piece of change-work. The maximum time however that is beneficial to the client is no more than 2 hours. You can expect to learn and grow in ways that you have never thought of. Determining how many sessions you will need really depends on each person’s depth or breadth of understanding the issues or how desirable your stated outcome is. I have had clients also experience the following: more energy and mental clarity, or a healing crisis; where the body responds to the major shift in consciousness through possible increased need for sleep, detoxification and quantum synchronicity where things just unexplainably fall into place. The Individual & Group Coaching Available. In office & over the phone / Skype consulting & coaching Life Times Hypnosis (Past Life Regression therapy & Life Between Lives) More and more humanity is waking up to accepting that our life stories haven’t started with our birth into this body nor ending when the body releases its spirit. I grew up catholic and under the current teachings of the church there is no such thing as reincarnation, though at the time over 20 years ago, when I posed this question to my priest, he said “There are books in the bible that were removed regarding reincarnation, and because of the current church law, I am not able to discuss these with you”, he then smiled in a caring and encouraging and even a little child-like mischievous manner that caused me to continue to be curious and seek out my own understanding of the truth. Years later I discovered my own memories through dreams, visions, flashbacks, déjà vu, and past life regressions. I owe these discoveries to father Arnold Weber who back then in his own way taught me the meaning of listening to my inner spirits voice and trusting that the creator continues to expand my understanding of reality outside the confines of societies mores and popular or unpopular beliefs. Life Times hypnosis is a process that will help you discover many things about yourself and your-SELF “as soul and as spirit”. When you look through the lens of who you are from this higher expanded perspective, you can then bring a deeper level of understanding, compassion and even forgiveness to yourself and to others, AND discover your life purpose, your own sacred path of awakened choices, and what you came here to accomplish. As with other hypnotherapy, we start with a session of inquiry, where I will assist you in holding quality questions that will unlock the most benefit for you. Then if needed subsequent regressions going deeper and deeper into your abilities to relax into deeper brainwave states from alpha, to theta, to delta or gamma brainwaves. Everyone has the ability to access these states so through practice you will increase your skills and stay there longer to access more information and accomplish more. Please allow for 2 – 3 visits to achieve these goals. Shiatsu Asian Bodywork Therapy & TCM Traditional Chinese Medical assessments Shiatsu is a type of acupressure that is done through clothing so bring comfortable clothing to wear during your session (i.e.. sweat pants, shorts, long or short sleeve shirt). You should avoid caffeine or eating full meals a half-hour before the session. For TCM tongue assessment purposes please do not brush your tongue in the morning. Never drink alcohol before or soon after your treatment. For one-hour appointments know that a TCM assessment (if needed) will take about 5 – 10 minutes of the beginning of your session. If assessment time takes longer you will be charged for additional minutes or it will reduce your treatment time further. Be aware that emotional releasing may occur because of the healing intended nature of these treatments and that this is very normal. Each process is as unique as each individual. If unprocessed memories or emotions come to the surface of your consciousness, please feel comfortable with sharing them with me, I am well trained to facilitate these emotional - spiritual processes. However if you choose to seek a spiritual director or counselor you may do so at any time. The effects of Shiatsu and other Asian bodywork differ with the intended treatment. In normal circumstances you can expect to feel more energy, vitality, mental clarity, and a relaxed peaceful state of mind and body. Common under therapy with a medical condition some may experience a healing crisis, or a break through where symptoms or detox responses may increase for 24 – 48 hours following the treatment. *** Also be aware that if you are on medication that you may need to follow up with a doctors’ visit if you begin to experience symptoms of being over medicated. If the body begins to heal itself your current dosages may need to be reduced. Jin Shin Do, is a very gentle holding meridian points type of work but the energy shifts are typically very deep which often causes; unusual hunger, drop in body temperature, or tiredness. Rest assured that this will pass quickly and you will notice improvements. Honor your healing process and be gentle with yourself. Moxa-bustion is used for tonifying a weak, frail or cold body. It consists of burning herbs over specific meridian points to strengthen those organ pathways the effects of mild blistering are rare but possible. Cupping & Guasha is used to remove toxins, stagnant qi/chi or blood from old injuries, external pathogens that cause colds & flu. The side effects will most likely cause discoloration of the skin from 1 – 7 days. Qigong & Reiki Energy Healing - in office or remote healing Through quantum field studies and sciences we understand that our body is 99.9% non-matter or mostly energy - consciousness, filled with vibrational frequencies that either support or hinder optimal health and wellbeing. So all energy healing is “message-information-vibrationalhealing”. One may experience immediate improvements while others may need several sessions of gradual progress and restoration. Some ailments such as carpal tunnel, tendonitis, stomach pain, may take as little as 1-4 sessions while torn rotator cuff ( 4 – 15 sessions) , depression or anxiety (weeks – months), neuropathy, growing cartilage or bone when missing completely (months to years), broken bones heal faster than 6 to 10 weeks of normal recovery time. If you have a condition that has not been mentioned, please ask I will give you my honest and professional opinion. Healing responses are similar to shiatsu Asian bodywork (so read the above paragraph). You can experience more energy, mental clarity, and improvements to your health and well-being and it is also possible to experience a healing crisis which usually occurs close to/ immediately following your session. Again take note that if this happens it is a very good sign that your condition will improve very quickly! Also if you are on any medication currently, I would advise scheduling a visit following our sessions with your physician to ensure the proper dosages. In office, email, phone & Skype are available. *This is a professional ethical practice. I will refer clients to other professionals when I feel a condition requires a broader scope of knowledge than what I have been trained for. I also do consult with colleagues that are in similar professions to better assist my clients. You as the client may request referrals at any time. You also have the right (as I do as well) to end a session early if you feel uncomfortable or unsafe in any way. Client records are kept. Confidentiality is protected and cannot be shared unless I have written approval from you or otherwise provided by law. Payment Policy Payment is required upon receipt of services or unless otherwise mutually agreed upon. Prepayment maybe required until the client/practitioner relationship is fully established. Sorry payment plans or reduced fees are no longer offered. I currently accept Cash, Check, Pay Pal, Credit Card payments in full. Also, I will accept auto injury insurance arrangements with your authorized physician, adequate paperwork. These client services needing to be billed to third party payers will be charged $1.75 per minute for services with additional office clerical, or administrative charges after the first 30 days. ***Cancelations or No Shows*** Clients will be billed at 50% to full price of your reserved scheduled time. This decision will be made at Heaven On Earth Healing’s discretion. So please make every effort to keep your appointment or call within 24 to 48 hours in advance. Thank you for honoring my time, talent and service! Fees for Services are as follows: T.L.C. Transformational Life Coaching, Hypnosis, NLP, Regression & Life Times Hypnosis Individual hourly rate $90 Group rates per series (determined by location) Distance Healing Sessions via Skype, phone, email Initial or occasional one hour session $80 Weekly or biweekly ongoing $65 In cases of low income I will offer lower rates based on each persons situation. Medical Intuitive & TCM Traditional Chinese Medical Assessments 30 minutes $40 Shiatsu Bodywork, Reflexology Reiki/Qigong Energy-work 15 minute $30 30 minute $45 60 minute $80 75 minute $95 90 minute $120 2 hour $160 In Home Shiatsu 60 minutes $100 90 minutes $150 In Home Group Rate Must have a 4- 6 hours of appointments confirmed for these special group rates Schedule: family, friends, neighbors, and your “book club group” in your home 60 minutes $88 90 minutes $133 2 hours $180 MN State Sales Tax may be included or an additional cost for Bodywork & Energy healing appointments on a per contract/agreement basis. Price changes are made up to date on website and current forms and are available upon request. The State of Minnesota states: You have the right: to complete and current information concerning the practitioner’s assessment and recommended service. Expect courteous treatment and to be free of verbal, physical or sexual abuse by the practitioner. Access to records and written information from records in accordance to sec. 144.335 To be informed that there are other health care services available in the community and can be found on community boards in stores, or newspapers and the yellow pages. To choose freely among available practitioners at any time with in the limits of health insurance, medical assistance or other provider services. To refuse services or treatment unless otherwise provided by law. To assert your rights without retaliation. The practitioner also has the right to be free from verbal, physical or sexual abuse And can end the session and charge normal fee for that appointment time. Cut on this dotted line and retain the above information for your records This portion is for your file I, (please print name)____________________________ have received and read the complementary & alternative health care client bill of rights. And, I have been informed on what to expect during and after I receive Asian Bodywork, Qigong/Reiki healing, Transformational Life Coaching, NLP, and Hypnotherapy and understand that this holistic therapy is in no way intended to replace conventional allopathic medicine. Signature___________________________________________Today’s DATE__________