Consent Form (owner/Animal)

Please fill in this consent form either online (below) or download this Word version to email back to Jane.

I understand that Jane Fowler does not claim to cure any illness, disease, or physical or mental health condition , through any alternative therapies. This consent form applies to both me and my animal.

Veterinary Consent & Animal Information

In accordance with UK law (Veterinary Surgeons Act 1966 and RCVS Guidelines):

• Veterinary consent is not legally required for non-manual therapies such as reiki, aromatherapy, or energy healing; however, it is recommended that your vet is informed before beginning any complementary treatments.
• These therapies are complementary, meaning they are intended to support, not replace, professional veterinary care.
• By signing this form, I confirm that I have obtained veterinary consent where required or I take full responsibility for the choice I make for my animal and will continue to follow all prescribed treatments given by my veterinarian.

Additionally, I acknowledge the following:

• I confirm that my veterinarian is aware of all past and current issues that my animal has or has had.
• If my animal becomes ill or injured at any time before the scheduled appointment, I will inform Jane Fowler. In such cases, any appointments will be rearranged at no additional cost, provided notice is given before arrival.
• I will inform Jane Fowler if my animal has ever displayed any challenging behaviour toward me, other people, or other animals.

Client Responsibilities & General Consent

• I take full responsibility for my own health and well-being, as well as that of my animal.
• I accept that any advice or therapy I receive is complementary and not a substitute for professional medical or veterinary treatment.
• I understand that the session may include my animal, me or my animal and me.
• I understand that Jane Fowler will be using muscle monitoring and a surrogate when working with my animal as part of the session.
• If Jane Fowler offers emotional coaching techniques, I acknowledge that these are not a replacement for professional counselling, psychotherapy, or psychiatric treatment. I agree to continue any prescribed treatments or medications from my healthcare or mental health professionals. If this work triggers any pre-existing mental health issues, I will consult my mental health professional.
• I agree to fully disclose any existing medical or mental health conditions for both me and my animal before beginning any treatment.
• I will disclose any history of anaphylaxis (severe allergic reaction) or known sensitivities before treatment so that appropriate precautions can be taken.
• I understand that my notes and data will be stored securely for seven (7) years, after which they will be securely disposed of. I have the right to access my records at any time upon request.
• I acknowledge that Jane Fowler, while providing alternative therapies, is not liable for any unforeseen reactions or outcomes resulting from the complementary treatments. Participation is voluntary and at my own discretion.

I have read / had read to me the above statements and have had the opportunity consider the information and ask questions. By signing below, I agree to all the terms and conditions and take full responsibility for accepting the sessions and outcome.