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Jeanine DuBois ~ Compassion’s Doorway
www.compassions-doorway.com


TAT® Session ~ Information and Release ~ Disclaimer

For yours and my clarity, wisdom, and well-being,
before participating in private and / or group TAT sessions with certified TAT Trainer Jeanine DuBois
, please read the following.
Once you have read and understood this Information and Release and asked any questions that you may have, if you agree, please indicate below.


I understand and agree that

  • I am in complete charge of my experience in any group or individual sessions with Jeanine DuBois. This is an opportunity to increase my personal awareness and choices. Therefore,
    • I will only participate in activities which I deem as wise choices and potentially beneficial for me,
    • and I will consult my health practitioners and other trusted advisers as I feel led.
  • Information provided by Jeanine is based on experience and / or training, meant to be educational and provided only as general information for my own personal use. I will be introduced to a modality created and developed by Tapas Fleming called Tapas Acupressure Technique® or TAT®, which originated in 1993. Since TAT continues to evolve, I understand that TAT founder Tapas' website offers an explanation of TAT, which I am welcome and encouraged to access: https://tatlife.net/about/
  • Because TAT is a relatively new healing approach and the extent of its effectiveness, as well as its risks and benefits are not fully researched, I agree to assume and accept full responsibility for any and all risks associated with doing TAT.
  • In doing TAT, other emotional and physical sensations or additional unresolved memories may surface or continue to surface, indicating other issues may need to be addressed.
  • Previously vivid or traumatic memories may fade. This could adversely impact the ability to provide detailed legal testimony regarding a traumatic incident.
  • No medical, psychological, or veterinary diagnosis, prognosis, treatment, cure, or prevention is expressed or implied by TAT or by Jeanine DuBois. TAT is not a substitute for medical, psychological, or veterinary treatment.
  • Jeanine makes no warranty, guarantee, or prediction regarding any outcome from using TAT for any particular issue.
  • Jeanine accepts no responsibility or liability for the use or misuse of TAT information provided.
  • Through TAT, we may release identification with our concern, leading to a shift in perception more in alignment with the blueprint of our true self and less with the overlay of distress. And I / we don't have any way of knowing what each person's path is, what their experience or timing may be as a result of this work, so we maintain presence, curiosity, and awareness as to shifts in our experience, noticing how life unfolds.
  • Any form of biofield balancing or energy work can fine-tune our system for more effective and efficient functioning. This can extend to potentiating (increasing the effectiveness of) medications we take and treatments we receive. It is important to diligently attend to how our body is handling medication and whether we need to see the prescribing physician to adjust the dose to our current health status.
  • Information presented by Jeanine is for my own personal use. I understand that if I want to share TAT with friends and family, I can direct them to the TATLife® website www.TATLife.com for Tapas' explanatory information and listing of certified TAT Professionals. Professional use of TAT is limited to certified TAT Professionals.
If any court of law rules that any part of this Disclaimer is invalid, the Disclaimer stands as if those parts were struck out.

Whether doing TAT individually or in a group setting, I understand that:
  • I am in total charge of my experience with TAT.
  • Anything addressed or revealed is received by Jeanine with respect and is held in honored confidence, except where safety requires otherwise. In addition, there may be times where Jeanine shares about an experience in a de-identified way as a learning opportunity.
  • Group members honor the privacy of others in the group. Confidentiality includes who else participates and anything they share.
  • Jeanine's group teleconferences and webinars may be recorded. Adding my voice is implied consent that I agree to Jeanine's making this recording available to other participants, including those who do not participate at the time of the call. I will limit my sharing to whatever feels comfortable to me. I understand there may be opportunities where the recording is paused and I can share off the recording.
  • I respect Jeanine DuBois' right to limit her shared resources (calls, recordings, participant web pages, etc.) to those who have registered to participate. I will honor her wishes and group members' privacy on this.
  • If the context is an individual private session, I will communicate to Jeanine as seems appropriate:
      • my comfort preferences (temperature, lighting, water, restroom)
      • any pertinent insights, observations, or requests - any guidance I sense about what might be helpful to me in the session
By completing the form below and clicking Agree, I acknowledge and agree to
  • all statements herein
  • my choice to utilize TAT of my own free will
  • my right to cease using this approach at any time
  • I agree to take full responsibility for my self-care, including physical, mental, emotional, energetic, and spiritual dimensions of my life and to seek professional advice as I deem appropriate before implementing any protocol or opinion shared by Jeanine or within the group.

Information and Release for:  TAT Session
Information and Release for: enter in box to right  "TAT Info & Release"
*Session Participant's full name and today's date:
*Email address:
Street Address:
*City, State, Zip Code, Country:
*Phone:
Clicking the Agree button below indicates you agree  to  all statements in this TAT  Information & Release ~ Disclaimer.

If you are a new client, please speak with Jeanine first.

Feel free to include a message to the right.
 
* indicates required field


wording adapted from TATLife® Disclaimer
Tapas Acupressure Technique,  TAT, and TATLife are registered trademarks of TAT creator Tapas Fleming, being used with permission.

To clarify, Jeanine is not a licensed mental health professional. Please seek assistance of appropriate health care providers as needed.




 
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updated 2017 October 5