Suzanne M. DeMasso – Consent/Liability/Financial Agreements

These documents contain important information about the professional services, financial responsibility and business policies of Suzanne M. DeMasso, hereafter, referred to as ‘SMD’. They provide a framework for understanding the services you are considering. Please read them carefully and email SMD any questions you might have before signing them (info-at-suzannedemasso.com). If you decide to use SMD’s services and agree to the terms in these documents, it shall represent an agreement between you and SMD.

Informed Consent:

SMD is a Certified Clinical Emotional Freedom Techniques (EFT) Practitioner. The term "Clinical EFT" refers to the "evidence-based" method that has been validated in numerous research studies.

EFT is a touch-based self-help mental health therapy which draws from acupuncture, exposure therapy, cognitive reframing, and many other time-honored approaches to healing. 

SMD is accredited in Clinical EFT. She completed her Clinical EFT certification with EFT Universe and trained with Master Trainer Dawson Church, PhD and Monica Evans, EFT Universe Trainer. This organization is accredited for Continuing Medical Education (CME/CE) credit for all the major healing professions, including doctors (AMA), nurses (ANCC), psychologists (APA) and social workers (NASWB).

SMD is not a medical practice.

No aspect of SMD’s Services are meant to be a substitute for professional advice from your professional care provider and SMD makes no warranties, express or implied, as to the completeness, accuracy, or appropriateness for any purpose of any information or instruction provided through the Services. You are encouraged to consult with your healthcare provider or other professional care provider with any questions or concerns you may have regarding any health condition or any other condition that you may have before taking any action or engaging in any activity or program, including SMD’s Services.

You acknowledge and agree that when taking any action or participating in any activity, routine or program that may be described in the Services that there is the possibility of physical injury, emotional distress and/or death, and you assume the risk and responsibility for any such results.

You should never disregard medical or other professional advice or delay seeking it. SMD’s Services should not be used in lieu of professional advice given by qualified medical professionals such as your doctor or other professional care provider. It is important that the Services are used only in conjunction with qualified medical guidance and guidance provided by other applicable professional care providers.

You hereby release SMD and waive any and all claims against SMD for any damages you may incur arising out of or related to your use of SMD’s consulting Services, Site, or Products. You further agree to indemnify and hold harmless SMD from any damages, liabilities, losses, or other claims incurred by SMD and arising out of or related to your use of SMD’s consulting Services, Site, or Products.

Cancelation and Reschedule Policy:

Should you need to reschedule a one-on-one Services session, you may do so by providing 24-hour notice in advance of your session by emailing SMD, info-at-suzannedemasso.com or call 360-390-4101.

Sessions not cancelled 24 hours in advance shall be charged full price. Group Services sessions are not subject to rescheduling, and no refunds are granted if you are unavailable to attend.

Your agreement below indicates that you have read the information in the document above, understand it fully, have discussed any question or matters of concern with SMD and/or others, and agree to abide by its terms during our professional relationship.

Confidentiality and Liability:

I understand that I am entitled to confidentiality with certain exceptions in which reporting may be legally required, such as current abuse of a minor, elderly, or disabled person, or the threat of serious bodily harm to myself or others. Confidentiality may no longer be legally protected should a judge make certain orders in certain legal proceedings, and I have been advised to consult with an attorney if I am involved in a legal situation in which such confidentialities may be at issue.

I understand that SMD may occasionally find it helpful to consult other professionals about her work with me. During a consultation, she will make every effort to avoid revealing my identity. The consultant is also bound to keep the information confidential. If I don’t object, she will not tell me about these consultations unless she feels that it is important to our work together.

I understand that if SMD is asked to provide services to my spouse, partner or another member of my family, I will, in advance, establish the limits of confidentiality with her. I understand that it generally confines a practitioner’s effectiveness when required to keep secrets, so SMD’s policy, in most circumstances, is that what I say and what I do can be shared with my other family members/partners (intimates) SMD is working with. If this is what SMD and I establish, I will not tell her anything I wish to keep secret from my intimates who are receiving sessions from her. If confidential information is a concern, it may be better for each of my intimates to work with different practitioners. Additionally, since SMD’s sessions are conducted via Zoom or another electronic platform, I understand that it is not possible to guarantee the confidentiality of the information, although I recognize that she will not knowingly share my information and identity. I also understand that SMD, with my permission, may record our session(s) to be able to refer to them in order to help me in the best possible way. They are never shared with others without my written permission. She also keeps notes from my sessions in a secure place. These notes can be shared with any medical professionals I may be seeing, only with my written consent, through a secure portal.

I understand that, normally, I will be the one who decides when my work together with SMD will end, but there are three exceptions to this. If SMD determines that she is unable, for any reason, to provide me with the services I am requesting in a professional manner, she will inform me of this decision and refer me to another practitioner who may better meet my needs. Second, if I verbally or physically threaten or harass SMD or her family, SMD reserves the right to terminate me as a client immediately and unilaterally. Third, SMD reserves the right to refuse or terminate a session if I or anyone in the session with me is suspected of being under the influence of a mood-altering substance. I understand that I shall be responsible and charged for the full payment of the normal fee should that happen.

Private Sessions. SMD agrees not to disclose, authorize disclosure, publish, post, circulate or otherwise disseminate any information learned, disclosed, or obtained of any kind, relating directly or indirectly to private sessions. Although confidentiality is required, SMD cannot guarantee that third-party technology and Services used will maintain confidentiality of any digital recordings, and you hereby release SMD from any and all claims associated with the disclosure of information.

Group Sessions. If the Services include any group sessions with third-party participants, you agree not disclose, authorize disclosure, publish, post, circulate or otherwise disseminate any information learned, disclosed, or obtained of any kind, relating directly or indirectly to any third-party participants present at the Services (“Confidential Information”). You further acknowledge and agree that although confidentiality is generally required of all group session participants, SMD cannot guarantee that third-party participants present at the Services will maintain confidentiality of any information you share, and you hereby release SMD from any and all claims associated with the disclosure of information you share at group sessions by a third-party participant.

Group Recordings. When SMD leads a live call, class, workshop, or training, she may record the class for educational purposes. She will often upload the recordings to her students’ portal for current and future students to view. She will never record without student permission as the Zoom service she uses always notifies the students and participants that they are being recorded.

I hereby release SMD from any claims whatsoever which may arise from the publication of videos or recordings.

I acknowledge that I have read and understand the above statements regarding EFT and SMD’s services and have discussed any concerns with her. Therefore, I consent to engage SMD’s EFT services freely and without duress of any kind and agree to indemnify and hold harmless SMD for any information on her website and resources she shares and from any claim, action, loss, liability, damage or suit arising from my participation and use of the information and techniques. I agree to abide by the above terms during our professional relationship.

Financial Agreement:

I understand that sessions must be purchased in advance of my meeting with SMD. I also recognize that, if I purchase a package, there is a discount based upon the number of sessions purchased. I understand that I may also purchase sessions for others and have them contact SMD. 

I acknowledge that any sessions purchased must be used within 1 year of the purchase date.

If we are near the end of a session, and I would like to continue longer than the time I paid for, and if SMD is available, I can continue the session for a longer period at a prorated amount equal to the plan I purchased, due at the end of the session.

Once an appointment has been scheduled, I understand that I shall be expected to pay for it unless I provide SMD with twenty-four-hours’ advance notice of cancellation.  If I am late, I understand that we shall still end our session on time. If I miss a session without cancelling or cancel with less than twenty-four-hours’ notice, I understand that I shall pay for that session unless we both agree that I was unable to attend due to circumstances beyond my control. If we do not both come to that agreement, I understand that I shall not be refunded for that missed session. I recognize that the purchase prices for each type of session package is listed on SMD (calendar service) scheduling link.  I understand that I can transfer unused sessions to someone else if I choose to do so.

I agree to pay for the entire session if I am (or anyone with me is) under the influence of any mood-altering drugs during our scheduled session, even if the session is cut short due to that event.

My agreement below indicates that I have read the financial information in the document above, understand it fully, have discussed any questions or matters of concern with SMD and agree to abide by its terms during our professional relationship.