• EFT Informed Consent & Disclaimer

  • VIRTUTEM FORMA DECORAT, LLC - Jen DeMarco, Certified EFT Practitioner
  • Disclaimer

  • Emotional Freedom Techniques (EFT) may be used as a supportive tool for emotional, mental, or physical well-being. However, you - the client - remain fully responsible for your use of EFT during and after sessions.

    Jen DeMarco is not a licensed medical or mental health provider. She offers EFT Tapping as a trained and certified practitioner through EFT International. While EFT has shown positive and sometimes remarkable results, it is still considered an emerging modality and should be viewed as a complement - not a substitute - for professional medical or psychological care.

    Please consult your physician, licensed therapist, or qualified health care provider regarding any questions or concerns about your physical or mental health. Compliance with all prescribed medical treatment, therapies, and medications is expected.

    By submitting this form, you acknowledge that you assume full responsibility for your personal health and safety during and after EFT sessions, and you release Jen DeMarco and VIRTUTEM FORMA DECORAT, LLC from all liability related to your participation.

  • Consent for EFT Sessions

  • I authorize Jen DeMarco to use EFT as part of our work together.

    I understand that:


    • Jen DeMarco does not diagnose, prescribe, or treat any medical or mental health conditions.
    • EFT sessions are not psychotherapy or medical treatment; they are a complementary, wellness-based approach focused on emotional regulation and personal growth.
    • I agree to inform Jen of any significant medical or mental health concerns that may be relevant to our work
    • I take full responsibility for my emotional and mental well-being during and after sessions.

    If I have any questions or require additional support, I understand that Jen is available for reasonable follow-up by email or phone.

  • Session Recording & Transcription

  • I understand that I may be offered the option to have the audio and/or video of my sessions recorded. Audio or video recording is optional, and I may decline or withdraw my permission without affecting my ability to receive services.

  • Required:*
  • I understand and agree that, whether or not I consent to an audio or video recording, Jen DeMarco may create and retain a written transcript of my sessions for professional quality review, accurate documentation, and the preparation of personalized tapping scripts, session summaries, or notes for me. Transcription technology may process the session audio for the purpose of producing the written transcript; however, Jen DeMarco will not retain an audio or video recording unless I have separately consented to its retention.

    Any transcript, recording, session summary, tapping script, or related documentation will be treated as confidential and stored securely. Secure technology service providers may process or store this information solely for the purpose of providing transcription or data-storage services and are expected to protect its confidentiality and not use it for unrelated purposes. This information will not otherwise be disclosed or used for training, educational, promotional, or other external purposes without my express written consent, except when disclosure is required by law. I may request a copy of any recording, transcript, tapping script, or session summary retained by Jen DeMarco at any time.

  • Payment & Scheduling Policies

    • Standard session fee: $125 per 60-minute session.
    • Payment is due in full prior to each scheduled appointment. Unpaid appointments may be released to another client.
    • Payment options: Calendly (takes credit cards), Venmo, CashApp, Zelle, or PayPal (available for in-person and online sessions).
    • Evening, weekend, holiday, or emergency appointments may be billed at a higher rate, to be discussed prior to scheduling.
    • Packages must be used within 90 days of purchase.
    • VIRTUTEM FORMA DECORAT, LLC is fully insured through the Energy Medicine Professional Association (EMPA).
    • Cancellations: Please provide at least 24 hours’ notice to reschedule or cancel. Missed appointments or late cancellations may be charged the full session fee. Jen will approach these matters reasonably and fairly.
  • Collaborative Care (optional)

  • Emergency Contact Information

    Please provide the name and contact information of a person who may be contacted in the event of an emergency involving your safety or well-being during or immediately following a session.
  • Format: (000) 000-0000.
  • Please notify me if you will be attending a session from a location other than your usual residence. In the event of an emergency, I may need to know your physical location to contact appropriate emergency services.

  • Signature Section

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: