Stacey Caster™ Consent form

PSYCH-K® CLIENT CONSENT & DISCLOSURE FORM

Facilitator: Stacey Caster (DBA North Executives Advisors, LLC)

Overview of Services

PSYCH-K® is a process designed to help individuals change limiting subconscious beliefs to support positive change in areas such as personal growth, stress reduction, and goal achievement. As a certified PSYCH-K® Facilitator, I will guide you through simple, client-driven techniques that may involve the use of muscle testing and whole-brain integration.

PSYCH-K® is not a form of psychotherapy, counseling, or medical treatment. It does not diagnose, treat, or cure any physical or mental health condition. It is not a replacement for professional medical or psychological care.

Voluntary Participation and Scope of Practice

I understand that participation in a PSYCH-K® session is entirely voluntary.
I may decline to answer any question or stop the session at any time.
I understand that Stacey Caster is not acting as a licensed therapist, physician, or mental health provider.

Muscle Testing & Physical Contact

Some PSYCH-K® processes may involve gentle, non-invasive physical contact (such as muscle testing on the forearm).

I understand that I may decline physical contact at any time.
I agree to communicate clearly if I am uncomfortable with any part of the session.
Stacey Caster will make every effort to maintain my comfort and safety throughout the process.

Confidentiality

I understand that all personal information shared during the session will be kept strictly confidential.
My information will not be disclosed to anyone without my written permission, unless required by law.

Results and Responsibility

I understand that PSYCH-K® is a process, not a guarantee of results.
I acknowledge that any changes in my life following a session are my responsibility and may vary from person to person.
I release Stacey Caster from any liability for decisions or outcomes resulting from this work.

Acknowledgment & Consent

By signing below, I confirm that I have read, understood, and agree to the terms of this form. I consent to participate in PSYCH-K® facilitation sessions with Stacey Caster and understand the scope, risks, and benefits as described.