I hereby voluntarily consent to a relaxation therapy session at Wellness Balance Harmony (WBH). I have read the program protocol and conditions and agree to comply with all recommendations, to the best of my ability, in order to receive maximum benefit.
I am responsible for the decision to seek this type of relaxation therapy program that could include improvement of the physical, psychological / emotional and environmental aspects of my illness. I recognize that the WBH staff do not treat any specific disease or illness and they are not licensed, certified, or registered by the state as a health care professional. However, all staff members are trained technicians and possess the proper training for administering sessions for clients. I recognize the possibility that this program may not prove successful or accomplish the results I expect or hope for. I understand that best results are obtained with a package program / protocol and membership.
I am fully informed that this approach to health differs from, and may not be recognized by, traditional medical standards. Clients should discuss any recommendations made by WBH with their medical professional. As further inducement to WBH to provide services for me, I hereby waive any claims and demands that I might now or hereafter have against WBH or its owners or staff that may arise, or deemed to arise from participating in therapy programs at WBH, and I hereby further release WBH and its owners and consultants from any and all liability of whatsoever kind or nature arising out of or in any way relating to the therapy sessions I will receive at WBH.
I understand that WBH reserves the right to deny treatment if it is not deemed by WBH to be in the best interest of the client(s) or staff.
It is understood that any therapy sessions, remedies, nutritional supplements, or treatment modalities are intended to enhance overall body performance and are not intended or implied to treat or "cure any specific illness." It is understood that any suggestions regarding remedies and nutritional supplements are only WBH's best recommendation and are at no time to be considered a prescription.
