I understand that Marita Katzbeck is not a licensed therapist or licensed health care practitioner, and offers EFT (Emotional Freedom Techniques) as a self-help educator. I understand that EFT involves gentle tapping on acupressure points while focusing on emotional or physical concerns, with the aim of reducing stress and improving quality of life. I understand Marita Katzbeck is a student of EFT with training in trauma-sensitive care and experience supporting individuals navigating major life transitions and health challenges. I am aware that Marita Katzbeck does not diagnose illness or disease, and does not prescribe medications. I agree to not discontinue or change any medications I am taking while working with Marita Katzbeck without consulting my doctor.
I understand that EFT is considered an experiential process and is not a substitute for medical, psychological or psychiatric treatment or medications, and that it is recommended that I currently work with my primary caregiver for any condition I may have.
I understand that EFT processes may bring unresolved and distressing memories and related emotions and physical sensations into my awareness, and it is possible that disturbing material may continue to surface after a session and require further work. I also understand that previously traumatic memories may lose their emotional charge and this could adversely affect my ability to provide convincing legal testimony.
I understand that all information I share with Marita Katzbeck is confidential and that no information will be released to any third party without my express written consent, with the following exceptions:
- When there is imminent risk of danger to myself or another person
- When there is suspicion that a child or elder is being sexually or physically abused or is at risk of such abuse
- When a valid court order is issued for session records.
I give Marita Katzbeck permission to describe the details of my sessions to her colleagues and mentors for training or supervision purposes only, as long as my personal anonymity is strictly protected.
I understand that Marita Katzbeck has a 24-hour cancellation policy and I agree to pay for any booked sessions that have not been canceled 24 hours in advance. Marita Katzbeck is not a provider for any insurance carrier and upon request will provide an invoice that I may submit.
I agree to take complete responsibility for my own comfort, health and well-being while working with Marita Katzbeck. I understand that, normally, I will be the one who decides when my work together with Marita Katzbeck will end, but there are exceptions to this. If Marita Katzbeck determines that she is unable, for any reason, to provide me with the services I am requesting in a professional manner, she will inform me of this decision and refer me to another practitioner who may better meet my needs. Marita Katzbeck reserves the right to refuse or terminate a session if I am suspected of being under the influence of a mood-altering substance. I understand that I will be responsible and charged for the full payment of the normal fee should that happen.
I acknowledge that I have read and understand the above statements regarding EFT and Marita Katzbeck’s services and have discussed any concerns with her. Furthermore, I understand neither EFT, nor Marita Katzbeck, guarantees specific outcomes. Therefore, I consent to engage Marita Katzbeck’s EFT services freely and without duress of any kind and agree to indemnify and hold harmless Marita Katzbeck for any information on her website and resources she shares and from any claim, action, loss, liability, damage, or suit arising from my participation and use of the information and techniques.
By signing this document, I acknowledge that I have read and understand the terms and conditions above and agree to abide by them during our professional relationship.