Contact Form | Avalon Techniques

Client Contact Form

DISCLAIMER

Reiki treatments provided by me are used in conjunction with and not instead of conventional medicine, nor should it replace the advice of a doctor or veterinarian.

Avalon Techniques is a lifestyle development consultancy licensed under Dubai Economic Department - Trade License #868831 By using this website and/or purchasing services provided on here, you agree to do so in accordance with processes outlined in this privacy policy.

CONTACT FORM FOR AVALON TECHNIQUES LIFESTYLE DEVELOPMENT

Please note that this information will be kept confidential and will be stored to conform to Avalon Techniques Data Protection and Privacy Policies.

Please read the Booking Policy, Privacy Policy, and sign the Data Protection Consent Form prior to submitting your Client Contact Form.

By answering the below questionnaire as accurately as possible it will provide valuable information to assist me in determining how best to help you and your horse or companion animal. Kindly complete in full in advance of our first treatment session.

TERMS AND CONDITIONS

I have Accepted, Signed AND Submitted the Avalon Techniques the Data Protection and Consent Form

I agree to my contact details being stored for legal and communication purposes as per the Avalon Techniques Privacy Policy

I agree to provide accurate background information when requested.

I have read and acknowledge the Avalon Techniques Booking Policy.

I understand that Reiki / Energy Healing is used in conjunction with and not instead of conventional medicine, nor should it replace the advice of a doctor or veterinarian.

I understand that during a Reiki /Energy healing session for myself, my animal or equine that the practitioners hands may be touching the body.

I understand that Lorraine Jackson is not a medical or veterinary professional and she does not give a medical diagnosis or claim to heal.

I understand and accept that results may vary, and that results are not guaranteed.

I have read and accept the Booking Policy, Privacy Policy and the terms and conditions listed above.

Thank you for your form submission.

I will be in touch very soon.

Data Protection Consent Form

Changes in Data Protection Legislation came into force May 2018 I am legally obliged to provide you with the following information, and to ask you to give your consent for me to hold your personal data.

What is included under personal data?

The personal data I hold about you may include:

Your phone number, email address, postal address.
E-mails, SMS/WhatsApp messages we have exchanged.
The initial client form human/animal which you have signed.
Brief notes for each treatment session.

How do I store your personal data?

The personal data I hold about you may include:

Your initial client form human/animal is stored securely in a password protected online file.
Your phone number is stored on my mobile phone under your first name or initials (no surname is used), as are any SMS/What'sApp messages and record of phone calls. My phone is code-locked and is kept secure at all times.
Our e-mail correspondence is password-protected and my e-mail service provider ensures that the e-mails are secure and encrypted.
Treatment session records are kept as a soft copy in a password protected online file.
Appointments are booked in my electronic calendar/diary with your first name only.

Why do I need to hold your personal data?

In order to be able to communicate with you via phone, e-mail or post if necessary.
So that I have a record of your attendance and a note of important factual information that may be of significance in our healing sessions.

How long will I keep your personal data for?

I am required to keep client records for seven (7) years after completing treatment.
After seven (7) years from completion of treatment sessions, all electronic data will be permanently deleted, and hard copies shredded and disposed of.

Your right to see the personal data I hold about you

The legislation states that you have the right to see the personal data I am holding about you.
If you wish to do so, you can ask to see your personal data, and I will be required to provide this for you within 40 days of your request.

When may I share your personal information with third parties?

There are a limited number of circumstances in which I may share your personal data and other information with third parties:-

Where required by a court of law.
If your safety or that of a vulnerable adult/child/animal(s) is imminently at risk.
If you request and/or give me consent to share your information with another health professional for the purposes of improving your care or that of your animal/pet.

ACCEPT AND SIGN

I have read and understood the above information, and agree for my personal data to be held and processed by: Lorraine Jackson in the ways and for the purposes described above.

Thank you for your confirmation.