Informed Consent Form
Effective Date: 13.02.2025
This document serves as an informed consent agreement for individuals utilizing Mila’s services. Please read it carefully before proceeding.
1. Services Covered
This informed consent applies to the following services:
Mila’s Psych Deconstruction
Custom Healing Meditations
Continuous Therapy & Support
Mila’s Psych Lab (Private Telegram Group)
Each of these services is designed for personal growth, self-reflection, and emotional support. Continuous Therapy & Support constitutes psychological treatment. Mila is a qualified mental health professional in Russia; however, in the United States and other Western countries, these services are not considered licensed mental health care.
2. Nature of Services & Expectations
By engaging in these services, you acknowledge and understand that:
Continuous Therapy & Support involves psychological treatment but is subject to jurisdictional limitations.
Custom Healing Meditations are a guided self-help approach and do not replace medical or psychiatric treatment.
Mila’s Psych Lab is a private discussion space for self-exploration and educational purposes but does not constitute formal therapy.
Mila’s Psych Deconstruction involves deep psychological analysis, which may bring up unexpected emotions or insights.
3. Confidentiality & Privacy
Your privacy is a priority. All shared information is confidential, except in cases where disclosure is required by law (e.g., imminent harm to self or others, child or elder abuse).
Mila does not record, store, or share session details without your written consent.
Telegram group participation is at your discretion; anonymity is encouraged where necessary.
We do not store any payment details.
4. Risks & Benefits
Psychological exploration may result in emotional distress or discomfort. You agree to take responsibility for your emotional well-being during and after sessions.
Benefits may include increased self-awareness, emotional resilience, and behavioral change, but results are not guaranteed.
If any distressing issues arise, you may discontinue services and seek additional support.
5. Payment & Cancellation Policy
Payments must be made in full before the session/service is provided.
No refunds are available once services have been delivered.
Subscription-based services (such as Mila’s Psych Lab) must be canceled before the next billing cycle to avoid charges.
6. Client Responsibility & Acknowledgment
By signing below, you confirm that:
You have read and understood this consent form.
You acknowledge the nature, scope, and limitations of the services provided.
You understand that results vary and accept full responsibility for your engagement in the process.
You release Mila (Milena Kozlova) from liability regarding personal decisions or outcomes related to these services.
Client Name: ________________________
Signature: ________________________ Date: _______________
Mila’s Representative : ________________________