Some Helpful Guidance for Parents/Guardians for Appointments with under 16’s:
All children under 16 must be accompanied by a parent or guardian and must stay with them throughout the session unless the therapist and child agree together that a treatment can be given alone. The latter decision is age dependant.
If you do not want to answer any question on this form then please put a line in the box. Otherwise please give as much information as you want and type onto a separate sheet of paper if required.
A full treatment plan can be pre-prepared saving unnecessary waiting time for your child if this form is filled in and e-mailed or posted to Melanie before the appointment. The treatment plan is considered part of the treatment time if I am researching options for your child’s treatment and may involve consulting with other therapists/medical professionals if you agree. Your child’s name will remain confidential.
If you think that doing Reflexology for example on your hands or feet first to demonstrate to your child what is going to happen will help him/her to relax and go ahead with the treatment then please advise beforehand. Often when your child is anxious if they see you relax then that helps them to relax also! Also parents and carers often benefit from a short treatment to relieve stress and tension so I am happy to offer this if deemed appropriate within the treatment time.
Melanie will allocate 90 minutes for the first appointment. However, should this not be required then payment is taken on a pro rata basis so just for the time used.
Your child lies on a padded comfortable table during the treatment with hot water bottles/blankets as appropriate (weather dependent!) If you think that a cooling environment is better with cool bags let me know.
For much younger children – if you think your child will relax better initially by bringing some kind of comforter e.g. a toy or a blanket that they sleep with that may help them relax, please use your own discretion and feel free to bring this along.
Secure transit emailed data is not guaranteed from your sent box, however once the form arrives in my PC inbox it is printed and the data file is deleted. For your additional information I am registered under the DATA PROTECTION ACT:1998 and GDPR May 2018. Insurers insist that I keep the consultation forms for up to 27 years depending on the age of your child at their last appointment.
Please ensure you have read and signed the disclaimer section at the end of this form, as I will ask you to sign it at the beginning of the appointment.
If you have any further questions I will be pleased to help.
Kind Regards
Melanie
Dr Melanie Jones (PhD)
