Responsibility Statement & Client Agreement

I am Yusra Hashim ,an EFT practitioner .My mission is to help Women release emotional and physical stress that affect their life, with my best knowledge and efforts by using Emotional Freedom Technique .

EFT or emotional freedom technique depends on you ,I am teaching you how to tap and guiding you to release the mental and emotional problems that you hold in your memory and block the way to your joy ,health and success.

Disclosure, Responsibility Statement & Client Agreement (The “client” is the signer below)

1. I (the client) accept complete responsibility for my emotional and/or physical well being before, during and after sessions or classes, and I will instruct others I share these techniques with to take the same responsibility for them.

2. I (the client) agree that it is my responsibility to notify my therapist and/or physician prior to using these skills and agree to their supervision if suggested. I will continue to take all my medications as prescribed and remain under the care of my physician or therapist for any medical, emotional or mental condition for which I am currently being treated or believe I may need treatment.

3. I (the client) take full responsibility for what I do with these techniques, and will hold harmless Yusra Hashim or anyone else associated with the techniques, from any claims made by myself, or anyone whom I seek to help. Subject to the other provisions of this agreement, I may use any of the techniques on behalf of others or myself.

4. I (the client) understand that the services provided by Yusra Hashim are limited to education pertaining to my overall well-being. I understand these services may include her physically tapping on my body at various acupressure meridian points. I grant my permission for limited physical contact. I agree to tell her immediately if it causes me any physical discomfort. I understand that these techniques may reveal some problems I had forgotten, but they don’t cause new problems. I understand I can accept or not accept any recommendations and I can terminate our relationship at any time.

5. I (the client) understand that my full identity will NOT be disclosed without my prior consent, if the issues I address during PRIVATE SESSIONS are shared with others in a general way for the purpose of educating them about these techniques.

6. I (the client) will not use these techniques to try to solve a problem where my common sense would tell me it is not appropriate.

7. As with all therapy ,complementary or normal medical/psychological , a “cure” can never be guaranteed .

8. I (the client) acknowledge that I have read the above agreement, understand it completely and have, if I so wished, received a copy of the same. I therefore retain Yusra Hashim, as an EFT Practitioner and voluntarily make and grant this Waiver and Assumption of Risk in favour of Yusra of as consideration for monies paid to the Provider.