Disclaimer *
I understand that any information provided is general information and is not to be considered medical or legal advice. I understand that in the session we will use techniques that address the energy system of the body. These methods include, but are not limited to EFT or Emotional Freedom Techniques and Matrix Reimprinting. While there is increasing research showing the effectiveness of these techniques, neither is yet accepted as a mainstream therapy and therefore, is considered experimental. Due to the experimental nature of EFT, I agree to assume and accept full responsibility for any and all risks associated with utilizing EFT both in and out of a session with Kelly Stoks. In no case is EFT intended to diagnose, treat, cure or prevent any disease or psychological disorder. Any energy-based technique that may be used in the session is not intended as a substitute for medical or psychological treatment. Any stories or testimonials about EFT are not to be considered a warranty, guarantee or prediction of a specific outcome. I understand that while Kelly Stoks is a certified EFT practitioner through AAMET, she is providing these methods in a non-licensed coaching capacity and accepts no responsibility or liability for the use or misuse of the information or techniques presented. I understand that I am strongly advised to seek professional advice as appropriate before making any health related decisions. If I am on any medications, I understand that I am NOT to change any dosages before consulting my physician or the professional who prescribed my medications. The intensity of previously vivid or traumatic memories may diminish. While this is considered a benefit this reaction may adversely impact your ability to provide compelling legal testimony regarding a traumatic incident. Reactions may surface during a session that you do not anticipate, including strong emotional or physical sensations or additional unresolved memories. Emotional material may continue to surface after a session and give indication of other incidents that need to be addressed. I have thoroughly considered all of the above and have obtained whatever additional input and/or professional advice I deem necessary or appropriate to make an informed decision before commencing sessions utilizing EFT. I understand that gentle touch may be used, with my permission in a face-to-face session, for the purpose of diagnosis or treatment. By my signature below, given freely and without pressure from any person, I consent to the use of EFT and other energy based modalities within my sessions.
Payment *
You will be expected to pay for each session at the time it is reserved unless we agree otherwise. If you are late for our meeting, we will still end on time and not run over into the next person’s session. If you miss a session without canceling, or cancel with less than twenty-four-hours notice, you must pay for that session unless we both agree that you were unable to attend due to circumstances out of your control.
Date *
Date