Client Consent Form

Client Consent Form

Dear Client, Before working with Joy Harris of Joyful Energy Heals in an Emotion and/or Body Code Session or Group Workshop, Please read in full and sign the following consent form.

Education and Training:

Joy Harris is fully certified in the Emotion Code technique. In addition to this Certification, I also have a Bachelor of Science degree from New Mexico State University in Individualized Studies with focused learning in Community Health, Educational Psychology and Human Resources, a natural fit with my Elder & Childcare + 25 years of experience and training in Nutritional Wellness and Kinesiology. Joy Harris, CECP, BS

Basic Description of Emotion Code/Body Code Service and Techniques:

The Emotion Code Method & Body Code System are gentle energy-release techniques that help you feel freer, happier and healthier.   The Emotion Code is the simplest way to get rid of your emotional baggage, The technique was created and refined by a chiropractor, Dr. Bradley Nelson, who realized that his patients’ aches and pains were more than just physically based – they were emotional. Dr. Nelson coined the phrase “trapped emotions” – negative energies that become trapped in the body during intense emotional events. Because the body is actually made of pure energy, the negative energy of trapped emotions can exert a damaging force on the body, which worsens over time. Trapped Emotions cause pain, self-sabotage, emotional problems and all kinds of malfunction and disease. I have been trained to help you discover and release your trapped emotions, which will help your body’s natural ability to heal itself, often resulting in a reversal of the disease process and a disappearance of emotional and physical ailments. The Emotion Code has been able to help all kinds of difficulties.  The Emotion Code is non-invasive, totally safe and requires very little time and effort on your part. No dredging up the past is required, which makes it very cost effective compared to other kinds of therapy. Everything discussed or discovered with me is always confidential. The Body Code System is an advanced healing technique bringing balance in 6 different ways.
  • Energy: To correct this area of imbalance, I identify and remove damaging emotional and mental energies that can become trapped in the body during stressful emotional events.
  • Circuitry: Involves balancing energy systems of the body including acupuncture meridians, connection of the spiritual and physical body,  chakras,  and energy circuits of organs & glands.
  • Toxicity: Identifies and addresses toxic agents that may or may not be diagnosed in medical tests. This can include removing energies and offering suggestions for detoxification.
  • Pathogens: Destructive and often elusive infections can be identified.  In addition to clearing energies, I can suggest other remedies to rid the body of these pathogens.
  • Structural: Imbalances in the bones, organs, connective tissue, muscles and nerves can be identified and balanced non-invasively to gently restore stability to the physical body.
  • Nutritional: This can involve identifying nutrient deficiencies as well as imbalances such as dehydration, magnetic field deficiency or a need for certain healing foods.

Disclosure of Health Information:

You will be given a “Client Information Intake Form” which asks for full disclosure of any health information that might impact your treatments (such as pregnancy) or physical limitations (like breathing or extreme pain issues).  Joy Harris and Joyful Energy Heals cannot be held responsible for any information not disclosed to her regarding current and past medical or emotional conditions.

Confidentiality of Records and Clients Rights:

At any time, you have the right to discontinue services, change consent, or leave.  You also have the right to ask any question about your session.  Your client information and records are treated in a confidential manner.  Your experiences during these sessions are confidential subject to the usual exceptions governed by state or federal laws and regulations. Confidentiality is subject to the following exceptions:
  1. You may instruct me to release information to other health care practitioners in writing.
  2. I may release information if subpoenaed or otherwise am obligated or reasonably allowed to do so (including circumstances where there is clear and imminent danger to yourself or another person.)
  3. Your confidential personal file is kept in a secure location and is retained for 4 years after you suspend services after which time all information will be destroyed in a proper manner.
  4. Your confidentiality is always subject to the usual exclusions dictated by state and federal laws and regulations.

Release of Liability:

Emotion Code/Body Code is a gentle, complementary energy based approach to health and healing that can assist your body in its natural ability to heal. My services are provided as Distance Healing, which will be explained fully during the session. This is accomplished through Energetic connection by Proxy with the use of magnets.  You will not experience any physical contact; also you may decline or change your consent to continue at any time. Should you choose to participate in the Energy Work, you have the choice to give consent for Joy Harris and Joyful Energy Heals to act as “proxy” for you so that you may enjoy the benefits of a session.  The Emotion Code Process may begin after you decide on this option; Consent is a prerequisite to any Energetic Connection. Emotion Code/Body Code services through Joy Harris and Joyful Energy Heals is a complementary therapy not intended to replace any currently prescribed medical treatments as ordered by your physicians nor any other medical care you have or may be advised to seek.  Service rendered by Joy Harris and Joyful Energy Heals is not medical advice or medical treatment and is not meant to replace medical advice of your doctor.  You will be encouraged to consult a licensed medical practitioner for any physical or mental complaints you may have. After completing your first session, if you believe that you have not benefited or received any value whatsoever, your fee will be promptly refunded.  Joy Harris and Joyful Energy Heals makes no claims as to healing or recovery from any illness. While Emotion Code/Body Code is a gentle, complementary energy based approach, there may be risks.  Most people process the energy released very easily.  However, occasionally, there may be some symptoms that come along with processing that you need to be aware of. Usually this is something minor, such as emotional irritability or a little fatigue, but it could end up being something more uncomfortable like headache or nausea. It all depends on what we released, what’s going on with your body at the time, your stress level at the time and many other external factors. You can make the processing period easier by getting extra sleep the night before, drinking a lot of pure water, and avoiding stressful situations.  Joy Harris of Joyful Energy Heals asks that you contact her immediately if any processing work is too uncomfortable so that she may help you.  All energies released are intended to release gently and peacefully. Any and all information is offered as a service and is not meant to replace any medical treatment. No guarantee is made towards validity. Use this information at your own risk. By viewing or using Joyful Energy Heals website, you consent in the event of a dispute or disagreement, to the exclusive jurisdiction and venue of a court of competent jurisdiction in Union County,  New Mexico and to the exclusive use of the laws of the State of New Mexico All client information and records are treated in a confidential manner.  Your experiences during these sessions are confidential subject to the usual exceptions governed by state or federal laws and regulations. Except in the case of gross negligence or malpractice, I or my representative agree to fully release and hold harmless Joy Harris and Joyful Energy Heals from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s). My questions have been answered to my satisfaction regarding Joy Harris and Joyful Energy Heals Company background. If I am a phone or Online Video client, I understand that when paying for services, I fully consent to the services offered by Joy Harris and Joyful Energy Heals and all terms stated herein. I agree to allow Joy Harris and Joyful Energy Heals to send me information via e-mail.  I understand that my e-mail address will be kept confidential and will not be given to any other party. By signing below, I fully consent to use the services offered by Joy Harris and Joyful Energy Heals. __________________________________________                 _______________________________________                ________________________ Patient Signature                                                                     Email                                                                                     Date If the patient is a minor, parent or guardian signature is required: __________________________________________                 _______________________________________                ________________________ Guardian Signature                                                                      Email                                                                                      Date  

Published by Joy Harris

Joy Harris, CECP, BS (NMSU) Certified Emotion Code Practitioner, 25 years of experience & training in Nutritional Wellness, Kinesiology, Elder & Childcare – Bachelor of Science Degree in Individualized Studies with focused learning in Community Health, Educational Psychology and Human Resources My own experience with the Emotion Code has been amazing! I like being a Fixer/Facilitator! Using the Emotion Code helps People feel better, function better and live happier lives. I love this work! It makes the world a better place and brings me great joy!