Emotional Freedom Techniques (EFT) Client Consent

Basic Definition of Emotional Freedom Techniques (EFT)

Emotional Freedom Techniques (EFT) is an energy therapy in which the same points or meridian points like Acupuncture is used to stimulate certain body systems. These points are tapped lightly with your fingertips in order to stimulate the system in the body and cause the energy flow; it is often referred to as Acupuncture without needles. EFT has been successful in helping with weight loss, trauma, pain, phobias, releasing fear, addictions, anxiety, allergies, illness, depression, increasing performance and personal success (school and sports, etc.).

EFT is a holistic, complementary and integrative energy based therapy that is accomplished through the client tapping on the points or practitioner’s use of light contact touch. The healing traditions of many cultures emphasize the importance of subtle energy systems that flow through and around the human body, affecting its health and vitality. Many of these traditions stress that balancing these energy fields can assist the body, mind and spirit in moving towards and maintaining wellness.

Description of a session

During a session, which is about sixty minutes, I will tap through the points along with you, while you focus on the specific issue you would like to heal. Normally, you will tap on the meridian points yourself, but on occasion it may be necessary for me to lightly tap on the points on your body. The points are top of head, eyebrow, side of eye, below eye, under nose, chin, collarbone and under arm. After a round or more of tapping, you may begin to feel relaxed, feel bored, yawn, sigh, laugh, burp or cannot remember what you were working on, these are just really signs that the tapping is working and you are healing.

Some patients experience an emotional release such as tears; some have what they consider to be a spiritual experience or they may develop insight into specific areas of their lives.

Benefits of Emotional Freedom Techniques (EFT)

Recent research studies suggest that Emotional Freedom Techniques is an effective for weight loss, trauma, pain, phobias, releasing fear, addictions, anxiety, allergies, illness, depression, increasing performance and personal success (school and sports, etc.).

Emotional Freedom Techniques is a noninvasive energetic technique, still being researched by traditional science, and currently has no known detrimental side effects.

Current Healing/Educational Credentials

• Angel Card Reader (CACR)
• Emotional Freedom Techniques (EFT) Practitioner
• Intuitive & Angelic Medium
• LifeForce Energy Healing Practitioner
• Ordained Minister in the Order of Melchizedek
• Personal Empowerment Coach currently enrolled
• Reiki Master

Confidentiality/Client Rights

Your experience during our sessions are confidential, and you have a right to view your files upon written request. Confidentiality is subject to the the following exceptions:

1. You may instruct me to release information to other health care practitioners in writing.
2. I may release information if subpoenaed or otherwise legally obligated or reasonable allowed to do so (including circumstances where there is clear and imminent danger to yourself or another person).
3. Your confidential personal file is kept in a secure location and is retained for 4 years after you suspend services after which time all information will be destroyed in a proper manner.
4. Your confidentiality is always subject to the usual exclusions dictated by state and federal laws and regulations.

Appointment Cancellation

Monette is committed to providing clients with exceptional care.  When a client cancels without giving enough notice, they prevent another client from being seen.

Please call me at (321) 236-0444 by 3:00 pm on the day prior to your scheduled appointment to notify me of any changes or cancellations.  To cancel a Monday appointment, please call me by 3:00 pm on Friday.  If prior notification is not given, you will be charged a fee of $35.  If you do not call or show up for your appointment, the full amount of your scheduled appointment will not be refunded or will be charged to your credit card.

Acknowledgement, Consent, Client Privacy Rights

I have read and understand the above disclosure regarding the services offered by Monette Mudie.

We have discussed the nature of the services to be provided including information that Emotional Freedom Techniques (EFT) is a holistic complementary and integrative energy based therapy that is accomplished through the use of contact and/or non-contact touch. I understand that she is not a licensed physician and I understand it is my responsibility to maintain a relationship for myself with a medical doctor, if I so desire. I further understand that the above named is not trained to diagnose illness, make recommendations involving pharmaceutical drugs or surgery, or handle medical emergencies.

I have read and understand the above disclosure regarding privacy policies,  confidentiality, cancellation policy, and that experiences during these sessions are confidential, but subject to the usual exceptions governed by laws of the State and federal laws and regulations.

Except in the case of gross negligence or malpractice, I or my representative(s) agree to full release and hold harmless Monette Mudie from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s).

I fully consent to use the services offered by Monette Mudie by signing below: