Client Bill of Rights for Holistic Health Options Dana Spates, 320-266-5476, or 320-243-7128
Services are available at 531 Maple St. Paynesville, MN56362, and 207 ½ Washburne Av., Paynesville MN
Degrees, Training, Experience, and Qualifications
Registered Yoga Instructor with Yoga Alliance ERYT500
Certified Yoga Instructor, through Yoga Fit Completed 2 levels
MS of Natural Health, through Clayton College of Natural Health
Certified Healing Touch Practitioner - Healing Touch International (2005)
Certified Healing Touch Instructor - Healing Touch International (2008)
Three Heart Balancing - 2 + levels, through Jaentra Green Gardner, Minneapolis, MN
Integrated Energy Therapy - 3 levels
Thai Yoga Bodywork – Certified Thai Yoga Bodywork Practitioner
Ayurvedic Yoga Specialist - Himalayan Institute
Experience
12 years of experience teaching weight training to clients
Teaching Yoga since 2002
3 years through Community Education Paynesville
2 Years through The Center for Health and Wellness Paynesville MN
Teaching for Holistic Health Options since 2007
Personal yoga practice since 2002
20 years of working at Country Cupboard health food store, Paynesville, MNas manager and five years of teaching classes regarding Weight Loss, Stress Reduction, and Exercise
10 years of teaching Aerobic Exercise
Healing Touch practice since 2003
Thai Yoga Bodywork practice since 2013
Ayurveda Yoga Specialist practice since 2016
In accordance with Minnesota state law, I am providing you with the follow notice:
“THE STATE OF MINNESOTA HAS NOT ADOPTED ANY EDUCATIONAL AND TRAINING STANDARDS FOR UNLICENSED, COMPLEMENTARY AND ALTERNATIVE HEALTH CARE PRACTITIONERS. THIS STATEMENT OF CREDENTIALS IS FOR INFORMATION PURPOSES ONLY. UNDER MINNESOTA LAW, AND UNLICENSED COMPLEMENTARY AND ALTERNATIVE HEALTH CARE PRACTITIONER MAY NOT PROVIDE A MEDICAL DIAGNOSIS OR RECOMMEND DISCONTINUATION OF MEDICALLY PRESCRIBED TREATMENTS. IF A CLIENT DESIRES A DIAGNOSIS FROM A LICENSES PHYSICIAN, CHIROPRACTOR OR ACUPUNCTURE PRACTITIONER OR SERVICES OF A PHYSICIAN, CHIROPRACTOR, NURSE, OSTEOPATH, PHYSICAL THERAPIST, DIETITIAN, NUTRITIONIST, ACUPUNCTURE PRACTITIONER, ATHLETIC TRAINER, OR ANY OTHER TYPE OF HEALTH CARE PROVIDER THE CLIENT MAY SEEK SUCH SERVICES AT ANY TIME.”
Complaints:
If you have a complaint with the services you have received from Dana Spates you may complain to the appropriate area of certification:
Yoga Alliance, 7801 Old Branch Ave. Suite 400, Clinton, Maryland 20735
Healing Touch International: 7112 W Jefferson Ave. Suite 301, Lakewood, CO 80235
Thai Yoga Bodywork LLC, Devanadi Yoga Minneapolist MN
Himalayan Institute - Ayurveda Yoga Specialist Certification
Right to Complain: If you have any concerns, you may file a complaint with the following office. Office of Complementary and Alternative Practice( OCAP)
Minnesota Department of Health
P.O Box 64975, Suite 400
Metro Square Building
St. Paul, MN55164
651-282-5623
5. Fees per unit of service: Fees are payable at the time of service. If you are unable to pay the full fee at the time of service, a payment plan can be arranged. This plan must be agreed to in writing prior to the provision of services. In order to receive services you must be current with your payment plan arrangement. We do not handle insurance claims; however a receipt can be provided to you. Fees vary according to the services provided, however this information will be agreed upon before services are provided. Fees range from $60-$80 depending on the length of the session. Appointments must be cancelled 24 hours prior to the scheduled time to avoid charges.
6. Change in service or charges: You have the right to reasonable notice of changes in services or charges, and I will provide prior notice of any changes.
7. My theoretical approach: It is my hope to educate you in ways that will enable you to improve your health through diet, exercise, stress relief, and energy practices. It is my belief that we are each in control of our ability to improve our health using these tools, and I am simply here to guide and enable the process, within my scope of practice.
8. Assessment and Recommendations: You have the right to complete and current information concerning my assessment and recommended service, including the expected duration of the services to be provided. If you have any questions please ask.
9. Courteous Service: You may expect the courteous treatment and to be free from verbal, physical or sexual abuse by your practitioner.
10. Confidentiality: Your records and transactions with me are confidential. This information will not be released unless you authorize release in writing or unless release is required by law.
11. Records: You are allowed access to records and written information from records in accordance with section 144.335 of Minnesota Statutes.
12. OtherCommunity Services: Other similar services are available in the community. Possible sources of information are Minnesota Wellness Directory, or the telephone Yellow Pages. I will provide you with other resources to the best of my knowledge.
13. Selecting and Changing Practitioners: You have the right to choose freely among available practitioners and to change practitioners after services have begun.
14. Coordinated transfer. If you change practitioners, you have the right to my assistance in coordinating this transfer.
15. Right to refuse Service: You are free to refuse services or treatment.
16. No retaliation: You may assert your rights described in the Client Bill of Rights at any time without retaliation.
Acknowledgment
I have received a copy of the Complementary and Alternative Client Bill of Rights. I have read and understand the Client Bill of Rights, or it has otherwise been read to me. I have had full opportunity to ask any questions I have about this document and my rights as a client. I understand my rights as a client. Healing Touch therapy has been explained to me andI give permission to receive a Healing Touch Treatment
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Client or Legal Guardian’s Name Printed Date
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Client or Legal Guardian’s Signature Date