Introduction:
I, [Client Name], understand that I am entering into a therapeutic relationship with Annie Baxter for the purpose of receiving Access Bars treatment or Emotional Freedom Techniques (EFT) tapping, and/ or coaching sessions. Before proceeding, I acknowledge that it is my responsibility to read and understand the terms outlined in this document. I am free to ask any questions or seek clarification regarding the content provided herein.

Description of Services:

Access Bars Treatment: Access Bars is a gentle hands-on technique that involves lightly touching 32 points on the head. It aims to facilitate relaxation, release tension, and promote overall well-being. Annie Baxter will perform the Access Bars treatment during the sessions.

Emotional Freedom Techniques (EFT) Tapping: EFT tapping involves gently tapping on specific meridian points while focusing on emotional experiences or physical sensations. It is intended to address emotional distress, negative beliefs, and physical discomfort. Annie will guide me through EFT tapping exercises during the sessions.

Coaching Sessions: Coaching sessions involve collaborative conversations between Annie Baxter and myself to explore goals, challenges, and strategies for personal growth and development. These sessions may include goal-setting, self-reflection exercises, and action planning.

Purpose and Benefits:

I understand that the purpose of Access Bars treatment, EFT tapping, and coaching sessions is to:

Promote relaxation and stress reduction.
Facilitate emotional healing and release.
Cultivate self-awareness and personal empowerment.
Support me in achieving my goals and aspirations.

Voluntary Participation:

I acknowledge that my participation in Access Bars treatment, EFT tapping, and coaching sessions is entirely voluntary. I have the right to decline any part of the treatment or session that I am not comfortable with. I understand that I may withdraw consent at any time without negative repercussions.

Confidentiality:

I understand that all information shared during Access Bars treatment/ EFT tapping, and/ or coaching sessions will be kept confidential by Annie Baxter at Mount Willow Place, except where disclosure is required by law or necessary to prevent harm to myself or others. I consent to the use of anonymized case material for professional supervision or training purposes.

Professional Boundaries:

I agree to maintain professional boundaries during the sessions. I understand that the practitioner-client relationship is therapeutic in nature and does not extend beyond the scope of the sessions.

Payment and Cancellation Policy:

I agree to pay the agreed-upon fee for each session prior to the appointment. I understand that Mount Willow place has a cancellation policy and that I may be charged for missed appointments without sufficient notice of 24 hours or more.

Acknowledgment of Understanding:

I have read and understood the terms outlined in this Informed Consent and Agreement for Access Bars Treatment, EFT Tapping, and/ or Coaching Sessions. I acknowledge that I have had the opportunity to ask questions and seek clarification where needed.

 

Client Consent: I, the undersigned, willingly participate in this EFT Tapping and Access Bars session, understanding the following: I do so voluntarily, with confidentiality assured except in cases of danger, legal requirement, or my explicit consent. I acknowledge that EFT and Access Bars are complementary, not substitutes for medical or psychological treatment, and take full responsibility for my well-being. I understand potential discomfort or emotional release during the session and commit to self-care. I recognize the continuation of effects post-session and will seek further support if necessary. Practitioner's Statement: As a certified EFT practitioner, Access Bars Facilitator, and coach/counselor, I ensure a safe, supportive environment. I guide and support clients throughout, prioritizing their well-being.

Practitioner's Signature:Annie Norris-Baxter  4/28/2024