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WOMB & FERTILITY

Consulting Agreement

Let's begin your journey together.

Please complete the form below:

WOMB & FERTILITY MASSAGE

CLIENT CONSENT, TREATMENT INFO AND AFTERCARE

PURPOSE OF THIS FORM

This document explains the nature of Womb & Fertility Massage, what to expect before, during, and after treatment, potential responses, and confirms your informed consent to receive this complementary therapy.

NATURE OF THE TREATMENT

Womb & Fertility Massage is a non-invasive complementary therapy focusing on the abdominal, pelvic, lower back, and sacral areas. The treatment is intended to support relaxation, circulation, body awareness, and emotional wellbeing.


This therapy does not diagnose, treat, or cure medical conditions, and no fertility, hormonal, or pregnancy outcomes are guaranteed.

WHAT TO EXPECT BEFORE YOUR TREATMENT

You are required to complete a Womb & Fertility Intake Form in full prior to treatment


• Please eat lightly beforehand and arrive well hydrated


• You must inform your practitioner if:


• You could be pregnant


• You have an IUD / coil fitted


• You feel unwell or emotionally vulnerable on the day

What areas would you like to see changes in?

WHAT TO EXPECT DURING YOUR TREATMENT




• You will remain appropriately covered at all times, with only the area being worked on exposed


• The treatment is carried out gently, respectfully, and with ongoing verbal consent


• You may experience relaxation, emotional release, or physical sensations



You may request changes, pauses, or termination of the treatment at any time.


POSSIBLE RESPONSES AND SIDE EFFECTS


Common / Mild


• Tiredness or deep relaxation


• Emotional release


• Increased body awareness



Less Common


• Mild cramping or abdominal sensations


• Light-headedness or headache


• Temporary spotting



Rare


• Strong emotional responses


• Temporary feelings of discomfort or emotional unsettledness


WHAT TO EXPECT AFTER TREATMENT


The body may continue to process for 24–72 hours following treatment. Emotional or physical responses during this time are normal and vary between individuals.



AFTERCARE ADVICE


To support integration following your session:


• Drink plenty of water for 24–48 hours


• Rest where possible on the day of treatment


• Avoid alcohol or recreational drugs for at least 24 hours


• Eat nourishing food


• Gentle warmth to the lower abdomen may feel supportive



If you experience persistent pain, heavy bleeding, or concerning symptoms, seek advice from your GP, Midwife, or appropriate medical professional


MEDICAL & PROFESSIONAL BOUNDARIES


I understand that Womb & Fertility Massage is a complementary therapy and is not a substitute for medical advice, diagnosis, fertility investigation, or medical treatment.



I understand that I should continue with any treatment or care prescribed by my GP, Consultant, Midwife, or Specialist unless advised otherwise by them.



I understand that my practitioner will advise medical referral where symptoms fall outside their scope of practice.


INFORMED CONSENT & DECLARATION


Please read and sign below:



I confirm that I have completed the Womb & Fertility Intake Form fully and accurately to the best of my knowledge and belief.



I confirm that I have read and understood the Client Consent, Treatment Information & Aftercare provided above and have had the opportunity to ask questions.



I understand the nature of Womb & Fertility Massage, including potential benefits and possible responses.



I understand that I may withdraw consent or stop the treatment at any time.



I confirm that I wish to proceed with Womb & Fertility Massage.

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DATA PROTECTION & GDPR


All personal data is stored securely in accordance with GDPR regulations. Client information is accessed only by the practitioner, is not shared with third parties, and is used solely for the purpose of providing womb & fertility massage and related care.


© Emily Teague | All rights rserved

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