Agreement between Naomi Janzen, professional EFT practitioner, and Client.
I have been informed that Naomi Janzen is not a licensed health care provider, therapist, or psychologist. Her academic training is in fine arts and not health care.
I understand that the services she provides in EFT are educational in nature.
I agree that this work is not psychotherapy and I am responsible for my own well being, during and after our work together.
I understand that I am advised to consult with my current health care providers before changing any medications or other treatments.
I understand that each session will be held in the strictest confidence and with the utmost respect, taking into consideration the following as required by law:
I understand that Naomi may not give medical advice or diagnose medical conditions.
I understand I may contact Naomi for follow-up via email if needed.
I understand that payment is requested the same day of the session unless other arrangements have been made.
I understand that clients having a history of epilepsy or psychotic episodes should only do EFT while under direct supervision of a doctor or therapist.
Cancelled/Missed/Late Appointments.
Stand alone sessions: I understand that full payment will be required for missed sessions and sessions not cancelled more than 24 hours in advance.
Package sessions: I understand once I have agreed to a session time, cancellations or changes must be made more than 24 hours prior or I forfeit the session. I understand if Naomi has to reschedule my session for any reason and at any time, I will be able to add that session to the end of the term if I am unable to have the session within the week it was originally scheduled. I understand that it is important for me to respect the agreed to session times and that Naomi will do the same. If I am late for my session, the session time will not be extended by the amount of time I am late. I understand that if Naomi is late for my session, the session time will be extended accordingly or the extra time will be added to a future session by prior arrangement if Naomi or I do not have time to extend the session she was late for. I understand that I will not be liable for sessions that must be postponed or delayed for technical reasons beyond my control, such as Internet failure but that after 3 instances of session delay or cancellation due to issues with my Internet, I will be accept phone sessions at Naomi's expense in place of Skype/Facetime/Zoom web video sessions until I can sort out my technical issues.
I have been informed that Naomi Janzen is not a licensed health care provider, therapist, or psychologist. Her academic training is in fine arts and not health care.
I understand that the services she provides in EFT are educational in nature.
I agree that this work is not psychotherapy and I am responsible for my own well being, during and after our work together.
I understand that I am advised to consult with my current health care providers before changing any medications or other treatments.
I understand that each session will be held in the strictest confidence and with the utmost respect, taking into consideration the following as required by law:
- Naomi may disclose private information without consent in order to protect clients or the public from serious harm — if, for example, a client was to discuss plans to attempt suicide or harm another person.
- Naomi is required to report ongoing domestic violence, abuse or neglect of children, the elderly or people with disabilities. (However, if a client discloses he or she was abused as a child, Naomi typically isn't bound to report that abuse, unless there are other children continuing to be abused.)
- Naomi may release information if she receives a court order. That might happen if a client's mental health were to come into question during legal proceedings.
I understand that Naomi may not give medical advice or diagnose medical conditions.
I understand I may contact Naomi for follow-up via email if needed.
I understand that payment is requested the same day of the session unless other arrangements have been made.
I understand that clients having a history of epilepsy or psychotic episodes should only do EFT while under direct supervision of a doctor or therapist.
Cancelled/Missed/Late Appointments.
Stand alone sessions: I understand that full payment will be required for missed sessions and sessions not cancelled more than 24 hours in advance.
Package sessions: I understand once I have agreed to a session time, cancellations or changes must be made more than 24 hours prior or I forfeit the session. I understand if Naomi has to reschedule my session for any reason and at any time, I will be able to add that session to the end of the term if I am unable to have the session within the week it was originally scheduled. I understand that it is important for me to respect the agreed to session times and that Naomi will do the same. If I am late for my session, the session time will not be extended by the amount of time I am late. I understand that if Naomi is late for my session, the session time will be extended accordingly or the extra time will be added to a future session by prior arrangement if Naomi or I do not have time to extend the session she was late for. I understand that I will not be liable for sessions that must be postponed or delayed for technical reasons beyond my control, such as Internet failure but that after 3 instances of session delay or cancellation due to issues with my Internet, I will be accept phone sessions at Naomi's expense in place of Skype/Facetime/Zoom web video sessions until I can sort out my technical issues.
NOTE: Return to your scheduling form via the Book A Session tab in your web browser.