Client Consent Form

Welcome to Ray of light.

In order to help your practitioner, prepare for your session, please complete the following form. If you have any questions or are unsure what to write, please let your therapist know. 

Please add partners and or family members, that will be attending the session with you. Include - Full name - date of birth - mobile number
If mobility is an issue and we can make arrangements to see you at an alternative clinic space allowing.
Referred by another health professional? Please name
Please briefly describe the reason for your visit:
1 hour sessions cost $130 payment is required on booking via your credit card. A tax receipt will be provided. Sorry Medicare rebates are not available.
Our cancellation policy states that your credit card will be charged $130 of the session fee for cancellations made in less than 24 hours prior to the session.
Please type your full name here as a representation of a digital signature
I provide consent for the exchange of verbal and written correspondence about my child’s service at Ray of light be provided to:
Please type your full name here as a representation of a digital signature
Thank you for choosing Ray of light to support you in your journey. We will be in contact within 72 hours. If you have any questions or do not hear from us, please do not hesitate to contact Rachel info@rayoflightyoga.com or 0414 585 688 (within office hours only)