CA DISCLOSURE FORM
Compliant with CA Business & Professional Code 2053.6 (a) [aka SB-577]
Complementary Health Practitioner / Reflexologist
As a holistic or complementary health care provider, California requires that I provide clients this form disclosing my services and the restrictions that apply under the CA State code listed above. Please sign below that you understand the information and have been given a copy in a language you understand. As there is no existing licensure for light touch bodywork, I am not licensed by the state of California as a healing arts practitioner.
This is to inform you that I, Victor E. Archuleta, am not a licensed physician and cannot give medical advice or treatment. I am a certified reflexologist and trained in craniosacral therapy. My services are a health care service, not a medical service. If you need medical advice or medical treatment, seek a physician.
The nature of my services: I provide reflexology for the feet, hands, and ears, and a complementary and alternative approach to wellness care that is known to relax the body and restore balance to body and mind. Reflexology is performed by using gentle and relaxing finger and thumb movements, different than massage, on specific points of the client’s feet, hands or ears. The nature of reflexology is to enhance the body’s innate healing processes and facilitate a higher level of wellness. I also provide craniosacral therapy that involves very gentle and subtle touch therapy on the bones of the skull and spine. I do not diagnose, prescribe or treat any health conditions. I am not able to tell you “what is wrong with you”. Rather, I am able to assess and evaluate for stress cues that may indicate stress in a body system.
Other services I provide: I also may provide aromatherapy, sound therapy, personal coaching, guided imagery, reiki or kundalini yoga. All of these services facilitate relaxation and an overall sense of well-being. Bodywork services can be provided lying on a massage table, seated or standing and either clothed or not, according to the nature of the service. Wellness coaching services may be in person, by phone, by Skype or email. A consultation is provided to determine specific services for client goals.
The theory upon which these services are based: Science has proven that a relaxed body and mind can function more optimally. When the body is deeply relaxed, stress levels can reduce, the mind can calm and a sense of peace and well-being can be experienced, pain levels can reduce and quality of life can improve. Information may be provided that is solely for educational purposes and to support healthy lifestyle choices. You are always advised to seek medical attention for any health condition.
My education and qualifications: Professional training and experience in the services I offer include but are not limited to:
- BS Bioengineering, UC San Diego – 1984
- Landmark Forum curriculum and leadership graduate, Los Angeles, CA – 1999-2009
- Kundalini Yoga Teacher Certification from 3HO Kundalini Yoga, Los Angeles, CA – 2011
- Reiki Level I, II and III Attunements from the Healing Source, Phoenix AZ – 2012
- Hand/Ear/Foot Reflexologist Certification from the American Academy of Reflexologists, Los Angeles, CA – 2012
- 2016 – CranioSacral Therapy certification scheduled for fall 2016
- Current Member of the Reflexology Association of California
- Current Member of the Associated Bodywork and Massage Professionals
The services I provide will NOT include any of the following: puncturing of skin, invasion or insertion into the body, X-rays or prescription for X-rays, giving or prescribing of legend drugs or controlled substances, telling you to discontinue any legend drug or controlled substance prescribed for you by an appropriately licensed practitioner, diagnosing of physical or mental disease, setting of fracture bones, or the use of electrotherapy to treat lacerations (cuts) or abrasions (torn) skin.