Complementary and Alternative Healthcare Bill of Rights

Practitioner Name:      Cody Peterson (Callen Thorn)     

Business Name             Thorn Divinations                      Email:      Callen@ThornDivinations.com

Telephone Number:     (612) 461-0784                         Website:   ThornDivinations.com 

As of July, 1st 2001 Minnesota's Freedom of Access to Complementary Care Law (Statute Chapter 146A) requires that you receive and acknowledge that you have received in by your signature on this document, the following information prior to your treatment.

Cody (Callen Thorn) Peterson, Hereafter known as “Practitioner” has received the following training and education credentials.

Meditation 101- Minneapolis Technical and Community College (MCTC), Spring 2016

Faery Reiki Attunements and Mastery- FaerySource.com, Bernadette Wulf, May 4 2021

Usui Reiki Attunements and Mastery- Purple Root, Jes Bellastrazze,Fall, 2021

Shamanic Animal Ally Course- Purple Root, Jes Bellastrazze, Summer, 2021

Shamanic Series- Purple Root, Jes Bellastrazze, Summer 2021

Meditation Skills- University of Metaphysical Sciences, January 23, 2022

Transforming Personality- University of Metaphysical Sciences, February 13, 2022

Enneagram- University of Metaphysical Sciences, February 18, 2022

Psychic Skills- University of Metaphysical Sciences, February 18, 2022

World Religions- University of Metaphysical Sciences, February 19, 2022

Gods, Goddesses, and Mythology- University of Metaphysical Sciences, February 22, 2022

The Craft- University of Metaphysical Sciences, February 22, 2022

Shadow Work- University of Metaphysical Sciences, February 23, 2022

Herbs (A Spiritual Approach)- University of Metaphysical Sciences, February 28, 2022

Archetypes- University of Metaphysical Sciences, February 28, 2022

Great Spiritual Masters and Teachers- University of Metaphysical Sciences March 13, 2022

Connecting With Your Angels- University of Metaphysical Sciences, March 17, 2022

Credentials of Ministry- Universal Life Church, Chaplain BR Martin, May 21, 2022

Mantras and Mudras- University of Metaphysical Sciences, May 28, 2022

Spiritual Symbols and Colors- University of Metaphysical Sciences, May 29, 2022

Essinian and Egyptian Therapies- Self Study 2022-Present

Tarot Cards- Self Study 2010-Present

Oracle Cards- Self Study 2012-Present

Witchcraft- Self Study 2010-Present

Water Energy Healing- Self Study 2011-Present

For more training and credentials click here

Complementary and Alternative Healthcare Bill of Rights

146A.11 COMPLEMENTARY AND ALTERNATIVE HEALTH CARE CLIENT BILL OF RIGHTS.

"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.

Subd. 2.Acknowledgment by client. Prior to the provision of any service, a complementary and alternative health care client must sign a written statement attesting that the client has received the complementary and alternative health care client bill of rights

• Concerns: If the client feels like a concern with the Practitioner's practice during a session they may contact the Practitioner to discuss a remedy to the situation to be handled as a case by case scenario.
  • Phone: (612) 461-0784
  • Email: Callen@ThornDivinations.com
  • Website: ThornDivinations.com
• Complaints: If a client has a concern or complaint about care or service they have received, The client may contact the office of Unlicensed Complementary and Alternative Health Care Practice located in Minnesota Department of Health:
  • Mailing Address: P.O. Box 64882, St. Paul MN, 55164-0882
  • Phone: (651) 201-3728                                                              
  • Website: www.health.state.mn.us
  • Fax: (651) 201-3839
• Fees, Payments, Insurance: All fees, payments and services are all clearly listed on the website, and while scheduling. Prices and services received at events are clearly listed with signage and will vary from venue to venue. 
• Canceled Appointment Fee: The Client must cancel 24 hours prior to the appointment otherwise they owe the full fee. If the appointment is canceled prior to the 24 hour mark a full refund will be issued. Forms of payments accepted, Cash, Card, Paypal, and Google Checkout. Currently insurance plan payments are not accepted by Thorn Divinations, Though may be reimbursable by your HSA or FSA account. (Please check with your plan administrator)
• Change of Price: Clients have the right to a reasonable notice to changes of prices, services, or policies.
• Theory of Statement: The state requires a “Plain Language” summary of the “Theoretical approach used to provide service to clients” The practitioners theory of approach is: By using spiritual means to guide the soul to its own healing through a plethora of techniques some from ancient times and some more modern. 
• Right to Current Information: Clients have the right to complete and current information concerning the Practitioners assessment, as well as services and the time those services will take to complete.
• Right to Confidentiality: Clients records are confidential and will not be released unless authorized in writing by the client or otherwise noted by law.
• Right to Self Access: Client(s) have the right to access their own records maintained by the Practitioners office, In accordance with state statute sections 144.291 and 144.298;
• Personal Interactions: Clients have the right to expect courteous interactions free from verbal, physical and sexual abuse.
• Other Treatment Available: Other services are available to the client within this community. These can be located by asking the Practitioner and the provider who recommended the Practitioner.
• Right of Agency: The client has the right to choose their provider and to change their provider after their services, within limits of their health insurance, medical assistance and other health programs.
• Records Transfer: The client has the right to coordinate the transfer of records to a new provider for changes of service providers.
• Right of Refusal: The client has the right to refuse any service unless otherwise provided by law.
• Right of Non Retribution: The client has the right to assert any of the above-mentioned rights without retaliation from the Practitioner

Complementary and Alternative Healthcare Bill of Rights

I, __________________________________________, acknowledge by my signature that I have received and understand the Complementary and Alternative Health Care Client Bill of Rights. 

Signature:______________________________________________________________               Date:____________________ 

Signature of Legal Parent or Guardian for anyone under age:_______________________________________

Date: ___________________

Email Address: _________________________________________________________ 

Phone: (_____) _____ -__________   Date of Birth: _____/_____/______ 

*If used for a client under the age of 18 a legal parent or guardian must sign and acknowledge*

(This page is for information purposes only)