Client Disclosures and Agreement
Before we begin, please read this agreement.
It s important that you understand what is written here. During our work together, I will be asking about your present condition for which you seek coaching, as well as any other issues you may have. This form sets the context in which you will get the outcome you want.
It also covers some of the issues of law governing our relationship.
Chrissy Marquardt and The Courageous Visionary LLC reserves the right to update this policy as needed.
Last updated: January 24, 2022.
Client Disclosure and Informed Consent
1. Mental and Emotional Release ® is an alternative or complementary health care under the laws of a number of states:
The person you will be working with is not licensed. That means that she is not a Medical Doctor, Psychiatrist or aPsychologist, nor does she have a Masters in Family and Child Counseling (MFCC) , or a Master’s in Social Work (MSW) , and you acknowledge that you have never worked with a licensed person on this problem. (If you have, you need to present us with a letter of referral from that licensed professional before we start our transformational coaching sessions. If you have been prescribed medication to take by that licensed professional. you need to present us a letter of consent from that person before we start coaching sessions. This means a short written note stating that you have informed your health care provider of your decision to engage in Mental and Emotional Release ®.) Furthermore, nothing that happens here should be construed as a substitute for the advice of a licensed person.
2. What to expect:
Your alternative practitioner has been trained and certified in Mental and Emotional Release ® at the Master Practitioner level and will be doing this technique along with Neuro-Linguistic Programming (NLP) and Hypnosis. The work will probably be different from what you might have expected. In total, we will not spend a lot of time talking about the problem, just gathering information about it. In fact, most sessions are spent on other things.
It is very important for us to discover the internal thought process of HOW you create the problem. That means that we are looking for your strategy, or how you structure the problem. Because our focus is on structure, that means that, once we discover it, we can move on and focus on having the problem disappear very quickly.
Because of this, your Mental and Emotional Release ® Master Practitioner may cut short your answers or even talk about your problem in ways that you have never considered. She may even ask you questions that you do not totally understand consciously in order for your Unconscious Mind to make changes you want at the unconscious level. It is important to do this so that we can reduce the time taken for the therapeutic process.
If you have been in a therapy session before, expect that this one will be very different, and quite a bit shorter.
3. This is the Process:
We begin with you telling us the problem. We will ask you for examples of the problem and other questions to discover HOW you do it in your head. We will also probe to discover the source of the problem – the precipitating event(s). Sometime before the end of this part of the session we will ask you what has to happen so you will know the problem is gone.
4. After the Session:
We will probably assign you some very specific tasks to do. If assigned these tasks are, absolutely, a fundamental part of the process. They may take up to several days or weeks to complete. The tasks are directly related to the circumstances that created the problem. You must do them. If you do not, then neither you nor we can predict the outcome of the work. Certainly, any guarantees will not be valid if you do not do the tasking.
The second thing that is important is that you will need to stubbornly focus on what you want. The people who are the happiest over-all in life are those who recognize that you have a choice to focus on what you don’t want or what you do want. You can focus on negative emotions and things that make you feel bad, or you can focus on positive emotions and things that make you feel good. It is your choice. After the session, You Must Focus On What You Want.
Finally, if your old pattern rears its ugly head, then you must refuse to run the pattern again. Please remember that we have the utmost total and complete respect for you and absolutely no respect for your old problem.
5. This is Alternative or Complementary Health Care and Therapy:
Your Mental and Emotional Release ® Master Practitioner is a legal Complementary Healthcare Provider, and is not a licensed Medical Doctor, Psychologist, Psychiatrist. She does not have a Master’s in Family and Child Counseling (MFCC) or a Master’s in Social Work (MSW). The services you receive are not licensed in this state, nor are they regulated by a governmental body. The self-regulated holistic treatments and client-centered disciplines in which your practitioner is trained and in which she has experience including consulting and coaching, Mental and Emotional Release ®, and Neuro-Linguistic Programming (NLP) and Hypnosis. We will always provide only those services in which we have been trained, and if we find that we cannot help you, we will refer you to a licensed person who can assist you.
During your session we will use one or more of the following techniques:
1. Life Coaching
According to the International Coaching Federation,
“Professional coaching brings many wonderful benefits: fresh perspectives on personal challenges, enhanced decision-making skills, greater interpersonal effectiveness, and increased confidence. And, the list does not end there. Those who undertake coaching also can expect appreciable improvement in productivity, satisfaction with life and work, and the attainment of relevant goals.
ICF defines coaching as partnering with clients in a thought-provoking and creative process that inspires them to maximize their personal and professional potential, which is particularly important in today’s uncertain and complex environment. Coaches honor the client as the expert in his or her life and work and believe every client is creative, resourceful and whole. Standing on this foundation, the coach’s responsibility is to:
Discover, clarify, and align with what the client wants to achieve
Encourage client self-discovery
Elicit client-generated solutions and strategies
Hold the client responsible and accountable
This process helps clients dramatically improve their outlook on work and life, while improving their leadership skills and unlocking their potential.”
The Association for Coaching defines Life Coaching as:
“A collaborative solution-focused, results-oriented, and systematic process in which the coach facilitates the enhancement of work performance, life experience, self-directed learning, and personal growth of the coaches.”
- Your practitioner is a Certified Master Awaken Your Life Coach, has over 400 hours of coach training, holds an Accredited Diploma in Coach Training by the Association for Coaching and is governed by the Code of Ethics set by the ACDT.
2. Mental and Emotional Release ®
The techniques are a process of active imagination where the client imagines floating above his/her/their Time Line and letting go of his/her/their negative emotions and/or limiting beliefs. Then the client is also asked to imagine creating events in his/her/their future that support his/her/their goals or outcomes. Mental and Emotional Release ® has demonstrated results in a broad variety of presenting problems. It is a powerful technique which allows clients to make long-lasting changes in a very rapid way.
- Your practitioner is certified as a Mental and Emotional Release ® Master Practitioner by the Association of Integrative Psychology.
3. Neuro-Linguistic Programming (NLP)
NLP is a model of communication – how we communicate to self and others – and how that communication creates and affects our behavior. As a study, it is a synthesis of cognitive and behavioral philosophies, which focus on the information coming in through the neurology (cognitive) and the programs we run inside our heads to produce the behaviors (behavioral) we do.
- Your practitioner is certified as an NLP Master Practitioner by the Association of Integrative Psychology.
4. Hypnosis
This is the use of trance to make changes at the unconscious level. Hypnosis has been used to produce unconscious change with clients since 1843. All of our practitioners are trained and certified as Hypnotherapists by the Association of Integrative Psychology. Since Hypnosis may be used during your session, for your safety you should make sure that you are totally wide awake before driving or doing any other activity that may require concentration.
- Your practitioner is certified as a Hypnotherapist by the Association of Integrative Psychology.
Confidentiality
We keep all information we receive from you, confidential, and do not disclose it to persons outside our company. All client information is kept strictly confidential and is for our internal use only. (Importantly, we are required in some states to share information about child abuse with state bodies who oversee such matters.) For more, please visit Terms and Conditions.
Email Policy
Per the terms of our agreement you have ‘unlimited’ email access. Emails are responded to in the order they are received Monday – Friday between the hours of 10am – 5pm PT. Please know my response time is between 3-5 business days. Please inform me at the top of your email how I am to respond. (ie. Read, need a resource, need a detailed response, hold for our next session.)
Email Confidentiality
Email messages, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited.
Your Guarantee
All work that we do is guaranteed. That means that you will receive the support and follow-up to ensure that you get the results wanted. We guarantee our work because our experience has shown us that our clients always get results.
The guarantee works like this:
You must finish the program. That means, attend every session.
You must go through the entire process of the work all the way to the end.
You must do the tasking after each session, and you need to do it fully and completely.
Your Choice, Your Responsibility
If you want to discuss our suggestions with someone else, you should discuss them with a licensed health care provider. It is your responsibility to confirm whether or not any changes we made produced the desired results. It is your responsibility to communicate your results to us. Our liability is limited to the amount paid for the work.
12 Month Transformational Coaching:
(Journey Back To The Self)
Your transformational coaching program includes two monthly sessions, every month for one year. Your sessions are 75 minutes each.
Scheduling Policy
The client is responsible for attending their sessions as scheduled. Should you have a schedule conflict you must cancel and/or reschedule no later than 24 hours prior to your session.
Failing to do so will result in a “no show” and will count as a completed session.
Please complete all sessions within your 12 month agreement, any remaining sessions will expire and not roll over.
Payment Policy
Your commitment to enrollment in the 12-month program, Journey Back to The Self, may be paid for in one or twelve payments.
Enrollees are not paying “monthly” for access to their program.
Enrollees are required to commit fully to the program and are responsible for the TOTAL cost IN FULL.
Your total due is to be paid in either one payment or twelve recurring payments.
Your first payment or pay-in-full is due on the day of enrollment and subsequent payments are due starting the following month, on the 10th of the month.
Your payment will be auto-deducted. You are responsible for keeping your credit card on file up to date and to notify The Courageous Visionary LLC 14 days prior to needing to update your information.
Your charge will appear on your CC statement as THE COURAGEOUS VISIONARY LLC.
Should you choose to cancel this agreement BEFORE the full 12 months has commenced will result in a non-refund of previous payments and you are responsible for remaining unpaid payments. All payments are non-refundable.
6 Month Coaching:
(The Courageous Visionary Space)
Your transformational coaching program includes two monthly session, every month for six months. Your sessions are 75 minutes each.
Scheduling Policy
The client is responsible for attending their sessions as scheduled. Should you have a schedule conflict you must cancel and/or reschedule no later than 24 hours prior to your session.
Failing to do so will result in a “no show” and will count as a completed session.
Please complete all sessions within your 6-month agreement, any remaining sessions will expire and not roll over.
Payment Policy
Your commitment to enrollment in the 6-month program, The Courageous Visionary Space, may be paid for in one or six payments.
Enrollees are not paying “monthly” for access to their program.
Enrollees are required to commit fully to the program and are responsible for the TOTAL cost IN FULL.
Your total due is to be paid in either one payment or twelve recurring payments.
Your first payment or pay-in-full is due on the day of enrollment and subsequent payments are due starting the following month, on the 10th of the month.
Your payment will be auto-deducted. You are responsible for keeping your credit card on file up to date and to notify The Courageous Visionary LLC 14 days prior to needing to update your information.
Your charge will appear on your CC statement as THE COURAGEOUS VISIONARY LLC.
Should you choose to cancel this agreement BEFORE the full 6 months has commenced will result in a non-refund of previous payments and you are responsible for remaining unpaid payments. All payments are non-refundable.