紧急联络人资料

Emergency Contact Information

知情同意书

INFORMED CONSENT AGREEMENT

I hereby fully agree to and accept the treatment provided by the practitioner and policies in Inner Light Therapy Centre.

Informed Consent

1. I understand that the results obtained through the treatment may be vary for each individual and no specific results can be guaranteed.
2. I understand that the treatment is not a substitute for medical treatment, and I understand that Inner Light Therapy Centre’s practitioners do not prescribe medications or give any medications.
3. I understand that in some circumstances it may be necessary for the practitioner to respectfully touch me on the hand, wrist, arms, shoulder or forehead as a means of helping me establish a beneficial state of relaxation, I hereby consent to such touching by the practitioner.
4. I have agreed to participate in each session to the best of my ability and accurately provided my background information as requested by the practitioner.
5. I understand that the information I provided during the treatment will be kept confidential professionally and the practitioner will not disclose the information to others without my oral or written consent. I am also aware of the limitations of professional confidentiality, if my information or conversation involves self-harm, harm to others, or involves a judicial-related statute (child abuse, domestic violence, sexual assault, etc.), I agree that the practitioner may notify my family or related agency in order to protect me and others. Clients who are under the age of 18 are also subject to the associated privacy protections.
6. I understand that the practitioner will provide the professional treatment needed according to my personal psychological condition and the progress of the treatment, or the treatment may be different from the treatment I booked. I am willing to accept the professional arrangement by the practitioner.
7. I understand that the treatments I participate in are time-limited to ensure that all Inner Light Therapy Centre’s clients receive professional appointments equally. Inner Light Therapy Centre may charge for overtime if my appointment is unavoidably over the time limit.
8. I understand that I can ask questions about the assessment or treatment at any time, including the procedure for the assessment or treatment, the location and timing of the treatment, the cost and payment method, the restrictions on confidentiality, the effects and limitations of the treatment, and the resources of the community.

Personal Data Protection Notice

1. By submitting this Form, you hereby agree that Inner Light Therapy Centre may collect, obtain, store and process your personal data Page 2 of 3 that you provide in this form for the purpose of receiving updates, services, news, promotional and marketing mails and/or materials from Inner Light Therapy Centre. You hereby give your consent to Inner Light Therapy Centre to store and process your Personal Data; or disclose your Personal data to the relevant governmental authorities or third parties where required by the law of Malaysia or for legal purposes.
2. If you wish to request access to or to rectify your Personal Data or withdraw/limit your consent, you may at any time send your request to Inner Light Therapy Centre. Your request shall be subject to any applicable legal restrictions, conditions and a reasonable time period.
3. Please also note that from time to time, Inner Light Therapy Centre may request for latest Personal Information from you. By providing us with your Personal Information or continuing to communicate with Inner Light Therapy Centre, we shall regard that you have consented to the processing of such data.
4. For the avoidance of doubt, Personal Data includes all data defined within the Personal Data Protection Act 2010 including all data you had disclosed to Inner Light Therapy Centre in this Form.

Return and Refund Policy

1. The Return and Refund policy shall be applicable to all products and services offered by Inner Light Therapy Centre under the brand of Inner Light Therapy and Academy.
2. All fulfilled treatment sessions are strictly non-refundable in any kind of circumstances.
3. Inner Light Therapy Centre shall keep the upfront payment (First payment) in deduction of subsequent treatment session that subscribed by the clients.
4. The session packages are valid for 12 months, clients are allowed to exchange or transfer the extra treatment sessions with other type of treatment sessions, additional fee may applied by following the particular treatment price list.
5. By signing up for any treatment session and/or package, the client acknowledges and agrees that client shall not claim any refund by strict compliance. The client further acknowledged that this is an essential term of this agreement which we rely on.