Our Disclosure

Web Element

Thank you for your interest in working with us as a client for SAF Secure.Our work together will include a shared understanding of what you hope to accomplish and agreements for supporting those outcomes. Although we will share our skills and abilities to support your growth and personal development, our work with you is only a resource and a means of support. As an intentional and conscious participant in your growth, you will ultimately take all responsibility for, and actions related to, furthering your life journey.As part of our practice, we offer a type of energy therapy blending encouragement and support combined with some Yoga practices that appear to have promising mental, spiritual, and physical health benefits but has yet to be fully researched by the Western academic, medical, and psychological communities. We will also offer self-hypnosis therapy, which as it states; self-hypnosis, this state will be performed by you and only you thus, you alone will be responsible for all actions related to this state. SAF is a relatively new healing approach and the extent of its effectiveness, as well as its benefits, are not fully established. The prevailing premise is that SAF uses the ancient Yogic method to relieve emotional stress and physiological pain and balances the energy and mental system. By signing this document you understand that SAF can be considered as pilot, therefore, absolving SAF of any liability and responsibility. If you have questions or concerns about the nature of the theories and methods we use, including the Yoga practices that will be recommended, please feel free to ask us for further resources or references.As stress facilitator and a Yoga Instructor, I will provide you with the services described in the attached Description of Services which is incorporated herein by reference and made part of this Disclosure Statement and Informed Consent. Any methods we use, including yoga, are considered alternative or complementary to healing arts that are licensed by the Province of Quebec.We are not psychotherapists, nor registered or licensed counselors, licensed physician nor are our services licensed by the Province of Quebec. Louise Dubuc is a certified Yoga and Meditation Instructor and an alternative well-being provider with the Canadian Yoga Federation of Quebec; however, the Federation does not have oversight over our practice. Please be advised that in our work together emotional or physical sensations or additional unresolved memories may surface which could be perceived as negative side effects. It is possible to experience some emotional distress and physical sensations related to prior life experiences. The clinical reports from energy therapies such as meditation show no additional side-effects when used appropriately. Emotions may continue to arise after a session and you are encouraged to discuss such emotions with us. In addition, previously vivid or traumatic memories may fade. This could adversely impact your ability to provide detailed legal testimony regarding a traumatic incident. You agree to take full responsibility for your self-care in the, emotional, mental, physical, and spiritual dimensions of your life.

 

Accept  _____________________________________________              Decline_____________________________________

 

Please print and sign this form