Client Release Form:
I understand that Liz Schultz, Certified Emotional Health Facilitator, does not diagnose or prescribe. I also understand that her work does not replace diagnoses or directives of licensed physicians, psychologists, or psychiatrists.
Processing is intended to promote emotional well-being and and healthy lifestyles by educating individuals, in part, about the relationship between emotions, belief systems, and behaviors.
Non-invasive methods and modalities are used during Processing. They may include, but are not limited to:
- Guided conversations
- Bio-kinesiology (Muscle Testing, MRT)
- Guided visualizations
- Speaking out feelings
- Role playing
- NLP (Neuro Linguistic Programming)
(use of visualized symbolism to gain information and understanding)
I authorize Liz Schultz to Process myself and/or individuals listed for whom I have legal stewardship. This authorization is valid for any and all sessions.
I understand that payment (exact cash, credit card, Venmo or check payable to Liz Schultz C.E.H.F.) is due prior to the start of each session. Cancellations with less than 24-hour notice may be subject to full charge. A $35 returned check fee applies and subsequent payments must be made by cash or credit card.
I acknowledge that completing and submitting this form constitutes my digital signature, consent and acceptance of the terms and conditions of agreement.