Virtual Office Hours 8 to 5pm Monday through Thursday

TeleHealth

TeleBehavioral Health by Licensed Clinical Mental Health Counselor and Licensed Alcohol and Drug Counselor Richard Crandall through secure video chat Monday through Thursday 8-5pm 

 

Richard Crandall continues to provide his healing arts practice Monday through Thursday. He is available by telephone or video-chat through on-line computer. Tele-bodywork services can be provided to where ever you maybe. The healing session is approximately 60 to 90 minutes and consists of an initial interview followed by on-line craniosacral. We will need to talk for a bit and gather a health history, clarify your symptoms, needs, wants, expectations for treatment. 

If this is an emergency please call 911 or visit your local hospital emergency room.

                                      

                   To schedual an appointment          802--674-6661 Phone/Fax

 

If you are Interested in receiving an on-line craniosacral session please complete the form below and email to Longtide33@icloud.com or send by postal mail to Richard Crandall PO Box 533 Brownsville, VT 05037.

 

Fee for on-line craniosacral $75 per hour session usually last 60 to 90 minutes

 

Fee for counseling $110 per 50 minute session

Bodywork Health Form

Date of Birth
Name
Address
Telephone            

Who may we call in an emergency (name and number)        

Intention for today

Date of your last physical
    
Health concerns 

Do you have cardiac or circulation problems

What gender were you assigned at birth

LBGTQ+

Have you ever had a concussion, seizure or stroke?

When do you get headaches or migraines?    

What is your level of physical pain on a scale of 1 to 10

What is your level of stress on s scale of 1 to 10

Any loss of feeling or memory


Any history of flashbacks or intrusive thoughts or thoughts of suicide?


What is your family of origin, ethnicity and race

Any history of bullying, domestic violence or abuse

Does sleep restore your vitality   

List herbs and medicine


What did you eat for food today_______________________________

What did you drink_________________________________________

Do you have a practice that reduces stress

When was the last time you had any alcohol?
    
Is there anything else you should bring to my attention?

 

This is your time for establishing and improving the health of your mind, body and soul. If you need to reschedule a minimum 24 hours cancellation notice from you is important, because someone else may want this time. Please initial………..

 

I understand that craniosacral, polarity or distance energy therapies are provided for the purpose of stress reduction, relaxation and relief of inner or outer tension. If you experience any pain or discomfort during any session you will immediately inform the practitioner so that the hand pressure may be adjusted to the level of your comfort. I further understand that craniosacral, polarity or energy therapy should not be misconstrued as a substitute for medical examination, diagnosis or treatment and that I should see a medical doctor, naturopath, osteopath or other medical specialist for any mental or physical ailment I am aware of.

 

Because craniosacral and polarity bodywork should not be done under certain medical conditions, I affirm that I have stated all my known medical conditions and answered all questions honestly. Please initial…………

 

I agree to keep the practitioner updated as to any changes in my medical profile and understand that there shall be no liability on the practitioner’s part should I forget to do so. Please Initial……
    
Your Signature……………………………..Date……………………….

Parent or Guardian…………………………Date……………………….

Practitioner……………………………….
(pronouns: he, his)

Richard Crandall
PO Box 533
Brownsville, VT 05037
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