Client bill of rights
Minnesota Complementary and Alternative Practitioner Client Bill of Rights for Dawn Strom Coaching LLC- www.dawnstrom.com and www.gyrotonicfit.com Website
Practitioner Name: Dawn Strom
Business Name: Dawn Strom Coaching LLC
Address: 3118 East 54th Street, Minneapolis, MN, 55417
Telephone number: 612-867-5004
As of July 1, 2001, Minnesota’s Freedom of Access to Complementary Care Law (Statute Chapter 146A) requires that you receive and acknowledge that you have received by your signature on the back of this page, the following information before your treatment.
Dawn Strom, MLS, RMSMT, GYROTONIC and GYROKINESIS Specialized Master Trainer and Holistic Coach, hereafter, “the Practitioner” has received the following education, training & credentials:
• BA – Bachelor of Arts Degree: Philosophy and Theology, St Catherine University, St. Paul, MN 2002.
• MLS- Master’s in Liberal Studies- Somatic Philosophy and Research- University of Minnesota, Minneapolis, MN 2008.
• Global Somatics Practitioner Training- 1500 hours Somatic Movement Education. St. Paul, MN, 2005
• Registered Master Somatic Movement Therapist- International Somatic Movement Therapy and Education Association- 2005-present.
• Gyrotonic and Gyrotkinesis Specialized Master Trainer- 2007-Present. Gyrotoinc International.
•Wisdom of the Whole Coaching Certification- 2015
•Heart of Success Business Coach Certification- 2017
•International Coach Federation- ACC Credential- 2016-2019
• Certificate in Somatic Trauma Therapy- Embody Lab 2024
• Certificate in Somatic Cognitive Behavioral Therapy - Embody Lab 2025
The Information that follows in quotation marks is required to be on the Client Bill of Rights in bold print by the state statute:
“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, an unlicensed complementary and alternative healthcare practitioner may not provide a medical diagnosis or recommend discontinuation of medically prescribed treatments. Suppose a client desires a diagnosis from a licensed physician, chiropractor, or acupuncture practitioner, or services from a physician, chiropractor, nurse, osteopath, physical therapist, dietitian, nutritionist, acupuncture practitioner, athletic trainer, or any other type of health care provider. In that case, the client may seek such services at any time."
Supervision: If the Client has a complaint or concern about the care or services that have been received, the Client may contact the Practitioner/Owner at the above address and telephone number.
Complaints: If the Client has a complaint or concern about the care or services they have received, the Client may also contact: Office of Unlicensed Complementary and Alternative Health Care Practice located in the Minnesota Department of Health: Mailing address: P.O. Box 64882, St. Paul, MN 55164-0882
Phone: 651-201-3728
Fax: 651-201-3839
Website: www.health.state.mn.us
Fees, Payment, Insurance: Fees are based on your program and are agreed upon in your enrollment agreement. Payment is accepted by credit card, cash, or check. This Practitioner is not under contract with any HMOs, PPOs, or any other Insurance Company to provide discounted services. This Practitioner does not accept Medicare, Medical Assistance, or general assistance medical care. Payment in full for services is expected at the time of service, unless otherwise arranged prior to the appointment. Dawn Strom Coaching requires 24 hours’ notice for cancellations. •
Change of Price: Clients have the right to reasonable notice of changes to the prices, services, or policies. Any change of prices will be posted to clients with 30 days’ notice via email prior to going into effect.
Theory of Treatment: The state requires a “Plain language” summary of the “theoretical approach used to provide service to clients”.
The Practitioner’s Theory of Treatment is: I am a Registered Somatic Movement Therapist and Coach (click Here for the Scope of Practice). The purpose of Somatic movement education and therapy is to enhance human functioning and body-mind integration through movement awareness. The scope of coaching, as defined by the International Coach Federation, is defined as “partnering with clients in a thought-provoking and creative process that inspires them to be their best personal and professional selves.” I offer mind/body/somatic practices, movement training, and holistic coaching to cultivate body awareness, mindfulness, and aligned movement to increase strength and flexibility, decrease stress and tension in your body/mind, and to support overall mind-body healing and well-being.
Right to Current Information: Clients have the right to complete and current information concerning the practitioner's assessment and recommended service that is to be provided, including the expected duration of the service to be provided.
Right to Confidentiality: Client records are confidential and will not be released, unless authorized by the client in writing or as otherwise provided for by law. See my Privacy Policy.
Right to Self-Access: Clients have the right to access to their own records maintained by the Practitioner’s office, in accordance with state statute sections 144.291 to 144.298;
Personal Interaction: Clients have the right to expect courteous treatment, free from verbal, physical, or sexual abuse.
Other Treatment Available: Other practitioners are offering Gyrotonic, which you can locate on www.gyrotonic.com
Right of Agency: The Client has the right to choose freely among available practitioners and to change practitioners after services have begun, within the limits of health insurance, medical assistance, or other health programs
Records Transfer: The Client has the right to a coordinated transfer of treatment records when there will be a change in the provider of services.
Right of Refusal: The Client may refuse services or treatment, unless otherwise provided by law.
Right of Non-retribution: The Client has the right to assert any of the abovementioned rights without retaliation from the Practitioner.
I _______________________________acknowledge by my signature that I have received and understand the Complementary and Alternative Health Care Client Bill of Rights.