BODY CODE CONSENT FORM & AGREEMENT
1. I understand that The Emotion Code & The Body Code, as created and taught by Dr. Bradley Nelson, and as practiced by the practitioner, Erica Leal, seek to identify and eliminate underlying imbalances by releasing energetic imbalances. These methods of energy healing are intended to promote harmony and balance within, relieve stress and support the bodyʼs natural ability to heal. Energy healing, including the modality of The Body Code, is widely recognized as a valuable and effective complement to conventional medical care. There are many other types of energy healing, The Body Code is only one technique.
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2. I understand that releasing trapped emotions as practiced by Erica Leal, is not a substitute for medical care. This information is not intended as medical advice and should not be used for medical diagnosis or treatment. Information received is not intended to create any physician-patient relationship, nor should it be considered a replacement for consultation with a healthcare provider, nor is it meant to replace any medical treatments as ordered by any physicians nor any other medical care you have been advised to seek by them. I further understand that The Body Code and any suggestions made for grounding techniques, releasing energy or meditation are not a replacement for any professional psycho-therapeutic or counseling sessions in the treatment of any mental health issues or disorders.
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3. Current pricing is as follows:
Single Session: $85.00
3-pack: $240.00
5-pack: $375.00
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4. I understand that in approximately 20% of sessions, the release of trapped emotion(s) may result in “processing,” where echoes of the emotion(s) released may manifest in temporary physical or emotional discomfort and that this “processing” appears to be a normal part of regaining energetic balance. Processing symptoms can include, but are not limited to: tiredness, excessive thirst, agitation, trouble sleeping, dreams about events released, or headaches.​
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5. Limited Liability: Except as expressly provided in this Agreement, the Practitioner makes no guarantees, representations or warranties of any kind or nature, express or implied with respect to the Body Code services negotiated, agreed upon and rendered. I understand that my practitioner, Erica Leal, makes no claims as to healing or recovery from any illness I may have now, nor the prevention of any illness I may have in the future, and that no guarantee is made towards validity. I further understand that the use of any information I receive is at my own risk. In no event shall the Practitioner be liable to the Client for any indirect, consequential or special damages. Notwithstanding any damages that the Client may incur, the Practitioner’s entire liability under this Agreement, and the Client’s exclusive remedy, shall be limited to the amount actually paid by the Client to the Practitioner under this Agreement for all Body Code services rendered through and including the termination date.
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6. I understand that if I have health concerns, I should seek advice from an appropriate medical practitioner before making any decisions about my health, and that this information is offered as a service and is not meant to replace any medical treatment.
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​7. I understand that I am advised to be self-informed about this work by visiting Dr. Bradley Nelson's website: www.discoverhealing.com and/or by reading his book, The Emotion Code and/or The Body Code.
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8. I understand that by signing this form, I fully consent to participate (or give full consent for my child to participate) in Body Code sessions with Erica Leal.
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9. Cancellation Policy: Client agrees that it is the Client's responsibility to notify the Practitioner 24 hours in advance of the scheduled calls/meetings. Practitioner reserves the right to bill Client 50% of the session’s cost for a missed meeting. Practitioner will attempt in good faith to reschedule the missed meeting.
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10. Entire Agreement: This document reflects the entire agreement between the Practitioner and the Client and reflects a complete understanding of the parties with respect to the subject matter. This Agreement supersedes all prior written and oral representations. The Agreement may not be amended, altered or supplemented except in writing signed by both the Practitioner and the Client.
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11. Dispute Resolution: If a dispute arises out of this Agreement that cannot be resolved by mutual consent, the Client and Practitioner agree to attempt to mediate in good faith for up to 60 days after notice given. If the dispute is not so resolved, and in the event of legal action, the prevailing party shall be entitled to recover attorney’s fees and court costs from the other party.
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​12. Severability: If any provision of this Agreement shall be held to be invalid or unenforceable for any reason, the remaining provisions shall continue to be valid and enforceable. If the Court finds that any provision of this Agreement is invalid or unenforceable, but that by limiting such provision it would become valid and enforceable, then such provision shall be deemed to be written, construed, and enforced as so limited.
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​13. Waiver: The failure of either party to enforce any provision of this Agreement shall not be construed as a waiver or limitation of that party's right to subsequently enforce and compel strict compliance with every provision of this Agreement.
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14. Applicable Law: This Agreement shall be governed and construed in accordance with the laws of the State of Texas, without giving effect to any conflicts of law’s provisions.
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​15. Binding Effect: This Agreement shall be binding upon the parties hereto and their respective successors and permissible assigns. Please sign both copies and return one copy of this Body Code Agreement prior to the first scheduled Body Code session. Retain one copy for your records and email a scanned copy to: ericaleal.art@gmail.com