My Client Intake Form is very thorough in nature and saves us time by gathering your information up front so that we can devote that time to your coaching session.
Please let me know which phone number is preferred for me to leave voicemails (if needed).
Don't worry if you rate this at a 10 and are feeling very resistant. Doubt, fear and anger are normal when you've been hurt and disappointed; especially if you trusted someone to help you and they didn't have the skill, the patience and/or the wisdom to do so. This may be where we'll do our best first work -- let's clear out the resentment and disappointment to make way for hope, excitement and certainty!
Don't worry if you're not familiar with EFT. I'll provide you with more information on that.
Don't worry if you're not familiar with TET Tapping. I'll provide you with more information on that.
Larissa Groeneweg and Embrace Regenesis, LLC make no claims, implied or otherwise, regarding the success and/or results from the application of The EGO Tamer® Tapping (aka TET Tapping based in EFT Tapping) and/or personal coaching/counseling (hereinafter referred to as “services”) provided through Embrace Regenesis, LLC. These services are considered experimental and although success rates are in the 80%-90% range, they are as yet undocumented therapies. Larissa Groeneweg is NOT a licensed physician, therapist or psychologist. Larissa Groeneweg is operating as a Registered Nurse and holds a certificate as an EFT & TET Tapping Practitioner. The emotional or physical frailty of some people is such that they should not attempt ANY healing procedure without the presence of a LICENSED THERAPIST. This may be 2% - 3% of the population. If you or the minor of whom you have guardianship who is a client of Larissa Groeneweg and Embrace Regenesis, LLC are in this category, YOU or YOUR MINOR CHILD MUST BE ACCOMPANIED BY YOUR MENTAL HEALTH CARE PROVIDER for a tapping session provided by an Embrace Regenesis provider. Under all conditions and in all circumstances, you accept full responsibility for your personal health and safety and/or that of the minor client under your guardianship. Your compliance with all of your current medical treatments, therapies and prescriptions and/or those of the minor client under your guardianship is expected. Embrace Regenesis, LLC, its employees or subsidiaries shall not be liable for any damages or injury arising out of your access to, or inability to access, all services provided. Embrace Regenesis, LLC, its employees and subsidiaries disclaim any and all liability for direct, indirect, incidental, consequential, punitive and special, or other damages, lost opportunities, lost profit or any other loss or damages of any kind to you or your heirs.
By my signature below, I acknowledge that I understand and agree with the Disclaimer presented above. Also by my signature, I, and my heirs, in consideration of participation in the services provided by Larissa Groeneweg and Embrace Regenesis, LLC, hereby release Larissa Groeneweg, her family, her heirs, and the officers, employees and agents of Larissa Groeneweg and Embrace Regenesis, LLC, from any and all liability for any loss or damage caused, or alleged to have been caused, directly or indirectly, by the services provided and/or the information or ideas contained, suggested or referenced during the course of services provided by Larissa Groeneweg and Embrace Regenesis, LLC. I understand that my participation in the services provided is strictly voluntary at my own risk and I freely choose to participate and/or permit my minor child to participate in TET Tapping services provided by Larissa Groeneweg and Embrace Regenesis, LLC. I understand that Larissa Groeneweg and Embrace Regenesis, LLC, do not provide medical treatments and/or coverage and I verify that I will be responsible for any costs I or my minor child incur, medical or otherwise, directly or indirectly, as a result of my participation.