Client Disclosure and Agreement
Before we begin, please read this agreement. 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. Andrea Leda LLC reserves the right to update this policy as needed. Last updated: January 8, 2019.
New clients need to download, sign and email back to firstname.lastname@example.org 48 hours prior to your first official session and/or class.
Client Disclosure and informed consent
1. 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 he/she is not a Medical Doctor, psychiatrist, psychologist, Masters in Family and Child Counseling, or a Master’s in Social Work. 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 Life Coaching, Journal Therapy, Mental and Emotional Release® Technique and Emotional Clearing Method at the Master Practitioner level and will be doing this technique with Nero 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). Some time 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, fundamental part of the process. They make 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 not a Medical Doctor, psychiatrist, psychologist, Masters in Family and Child Counseling, or a Master’s in Social Work. The services you receive are not licensed in this state, nor or 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/he has experience including consulting and coaching, Mental and Emotional Release®, 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 sessions we will use one or more of the following techniques:
a. Coaching: According the International Coach 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.”
Your practitioner is a Professional Certified Life Coach as accredited by the International Coach Federation and is governed by the Code of Ethics set by the ICF.
b. Mental and Emotional Release® Therapy: The techniques are a process of active imagination where the client imagines floating above his/her Time Line and letting go of his/her negative emotions and/or limiting decisions (or limiting beliefs). Then the client is also asked to imagine creating event in his/her future that supports his/her goals or outcomes. Metal 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.
c. 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.
d. Hypnosis and/or Visual Meditation: 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. 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 trained and certified as a Hypnotherapist by the Association of Integrative Psychology.
e. Journal Therapy: The Journal to the Self® program is a 12-hour course on how to keep a journal for personal growth, creative expression and life enrichment. It was created in 1985 by Kathleen Adams LPC, PTR, Director of the Center for Journal Therapy, Inc., and internationally known pioneer and expert in the power of writing to heal. Your Journal to the Self® instructor is trained from the Center for Journal Therapy and available to provide guidance and self-reflection through journal and personal writing techniques.
f. Yoga: According to the Yoga Alliance,
“Yoga is a system, not of beliefs, but of techniques and guidance for enriched living. Among Yoga’s many source texts, the two best known are the Yoga Sutras and the Bhagavad Gita. Both explain the nature of—and obstacles to—higher awareness and fulfillment, as well as a variety of methods for attaining those goals.
As in any field, some aspects of Yoga are too subtle to be learned from books or lectures; they must be acquired through experience. Hence Yoga’s time-honored emphasis on the student-teacher relationship, in which the teacher helps the student develop a practice that brings deeper understanding through personal experience.
Since the individual experience of Yoga is quite personal and may differ for each practitioner, there are a wide variety of approaches to its practice. Yoga has in recent times branched out in many new directions, some of which are quite different from its traditional emphases. All approaches to Yoga, however, are intended to promote some aspect(s) of wellbeing.”
Your practitioner is a Registered 200-Hour Yoga Teacher (RYT-200) as accredited by the Yoga Alliance and is governed by the Code of Conduct set by the Yoga Alliance.
We keep all information we receive from you, confidential, and do not disclose it to persons outside our company. All client information is kept strict 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 Confidentiality Policy
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.
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
While, during the sessions, we will offer you advice and other ways of looking at any and all presenting problems and its solutions for your consideration. You hereby agree that wheatear we discuss is only our perspective and is not binding upon you, nor is it prescription.
If you want to discuss our suggestions with someone lese, 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.
Credits & Subscription Policy (Coaching Circle Only)
Your coaching subscription level includes 6 or 12 credits. A credit may be redeemed for a 45-minute private coaching call at the client's discretion within your 6-month agreement. You may downgrade your chosen level after your total 6-month agreement has commenced and you may increase your subscription level at any time, this will not result in an extended agreement.
Your monthly subscription payment(s) are for a 'month of service' and not divisible per credit.
Scheduling Policy (Coaching Circle Only)
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 (Coaching Circle Only)
Your total due is to be paid in six recurring monthly payments 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 Andrea Leda LLC 14 days prior to needing to update your information. Your charge will appear on your CC statement as: ANDREALEDA LLC.
Should you choose to cancel this agreement BEFORE the full 6 months has commenced you must inform Andrea Leda LLC in writing via email 30 days in advance. Contracts mid-month will be considered a normal payment period. Unused credits will expire and do not roll over.
Canceling this agreement BEFORE the full 6 months has commenced will not result in a refund. All payments are non-refundable.
Payment Policy (Awaken Your Life Only)
Your total due is to be paid in either six recurring monthly payments on the 10th of the month, three recurring monthly payments on the 10th of the month, or paid in full due on the 10th of the start month of your program.
Your payment will be auto-deducted. You are responsible for keeping your credit card on file up to date and to notify Andrea Leda LLC 14 days prior to needing to update your information. Your charge will appear on your CC statement as ANDREALEDA LLC.
Should you choose to cancel this agreement BEFORE the full 6 months has commenced you must inform Andrea Leda LLC in writing via email 30 days in advance. Contracts mid-month will be considered a normal payment period. Early cancellation of this program will result in a non-accreditation and/or certification. To complete your training will require re-enrollment in the program in its entirety.
Canceling this agreement BEFORE the full 6 months has commenced will not result in a refund. All payments are non-refundable.