Informed Consent to Consultation & Waiver of Liability

1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body’s ability to heal itself using the principles of Ayurveda.
2. As an Ayurvedic practitioner using Western Medical diagnosis or treatments, he or she is not a physician, nor a licensed health care professional, but rather an Ayurvedic Lifestyle Coach using the principles of Ayurveda.
3. No medical advice, diagnosis, treatment, or prescription is given by the Ayurvedic Lifestyle Coach.
4. If you are suffering from a disease or symptom that has not been evaluated by a physician or other licensed health care professional, you are encouraged to be evaluated by one. If you choose not to see such a provider, by signing this understanding you acknowledge that consultation with a physician has been recommended to you.
5. An Ayurvedic Lifestyle Coach may not alter any prescriptions or other measures, protocols, or regimens recommended to you without written and expressed approval from your physician or other licensed primary health care provider.
6. The Ayurvedic Lifestyle Coach holds no liability for any supplements discussed during consultations.
7. There is a fee for an initial Ayurvedic visit and a fee for each follow-up.
8. Cancellations must be made within 48 hours or a minimum of 50% of the consultation fee will be due.

I understand that this consultation and any assessment or information ensuing therefrom is for general educational purposes only and that no claim to medical diagnosis or treatment, or the cure of any medical condition, is inferred or implied. I further understand that this consultation and any recommendations ensuing therefrom should not be construed as a substitute for medical examination, diagnosis, and treatment, and that I should see a physician or other licensed primary health care provider for any physical or mental ailment or complaint that I may have. I understand that an Ayurvedic consultation may include assessment of doshic conditions and related recommendations for dietary, herbal, or other lifestyle regimens and that these are given from a traditional Ayurvedic perspective only. I understand that any suggestions or recommendations are in no fashion intended as a prescription for any condition. I understand that Ayurvedic Lifestyle Coach is not qualified or licensed to diagnose, prescribe for, or treat any physical or mental illness, and that nothing said in the course of any consultation should be construed as such. I understand that any healing process requires my active participation and is my own personal responsibility.

I have read and understand the above information.