Client, Medical and COVID-19 Disclaimer Page
By booking a service, you are acknowledging that payment is due at the time of booking and that you have read the disclaimers below and agree to these terms and conditions.
I, client seeking service(s), understand that I am responsible for my health and my health choices and that, per Federal and State Law, only a medical doctor is able to make any claims to diagnose, treat, prevent, or cure disease, prescribe prescription drugs and/or adjust my dosage of prescription drugs.
I understand that all information and all correspondence verbally, via email, brochure, letter, or otherwise does in no way make any claims to diagnose, treat, prevent or cure me of any ailment, affliction, suffering, or disease that I have had, currently have or will have in the future. Additionally, I understand that if I rely on any additional information related to financial decisions, relationships or otherwise, I do so at my own risk.
I therefore, release Providence Healing Studio, its employees, officers, owners and representatives from any past, present, or future health, financial or other liability issues that I may have. I also acknowledge that I am seeking services or products of my own free will and choice and that I was not, nor have been, forced, mislead or coerced by any statement made verbally or in writing. I understand that it is the intention of this therapy that a person is supported as a whole person for optimizing wholeness and success. I understand I will not be prescribed any prescription medications with these services, however I am encouraged to provide open communication between Providence Healing Studio and any of my doctors and/or practitioners I am currently working with.
I understand that Providence Healing Studio will not provide a diagnosis and by law cannot provide a diagnosis. I also understand that it is important that I know what is going on with my own body so I confirm that I have received a medical diagnosis or am under the care of a licensed physician to receive a medical diagnosis.
I understand that no physician-patient relationship is established through participation in energy reading and/or my relationship with Providence Healing Studio.
I understand that this work is not psychotherapy.
I understand that information regarding the energy of the body and/or the specific reason I have sought services (specify where applicable, such as animal, health, etc ) is provided for educational purposes and that there is no guarantee of monies to be made or successes as no one is able to guarantee money and/or success.
I understand that this work is not medical diagnosis, medical treatment or medical advice; therefore I will not be provided medical prescription(s), medical treatment, medical diagnoses, cure or psychotherapy.
I understand I will be billed for the duration of the appointment, not for the amount of time scheduled.
I understand that I am the person who has the most influence over the energy of my body and that any services I receive is to assist me with working with my own energy.
Some appointments may be helpful to record for repeated listening, and some may not. If you are open to having your appointment recorded exclusively for your listening only, please notify your practitioner.
Please be advised that the novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing, wearing masks, and have, in many locations, prohibited the congregation of groups of people.
The venue used by Providence Healing Studio, LLC, has put in place preventative measures to reduce the spread of COVID-19; however, Providence Healing Studio, LLC cannot guarantee that attendees will not become infected with COVID-19. Further, attending special events/gatherings could increase attendees' risk of contracting COVID-19.
In consideration of being permitted to use our services and/or gathering and/or participate in events at venues selected by Providence Healing Studio, I agree, on behalf of myself, my personal representative(s), assigns, heirs, and next of kin, to the following:
• By participating in services provided by Providence Healing Studio, LLC and entering any facility or gathering and/or participating in events, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending my privately hosted special event, and that such exposure or infection may result in personal injury, illness, permanent disability, or death.
• I also acknowledge that the risk of becoming exposed to or infected by COVID-19 during a Providence Healing Studio, LLC event may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Providence Healing Studio, LLC employees, event participants and their families.
• By entering any premises where Providence Healing Studio is providing services, I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury occurring to myself or my guests (including, but not limited to, persona l injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my guests may experience or incur in connection with attending a special event provided by Providence Healing Studio, LLC.
• By participating in any special event(s) provided by Providence Healing Studio, I agree not to sue, and to waive, discharge, indemnify and hold harmless the owner of Providence Healing Studio, LLC, their respective employees, agents, and representatives, of and from all claims, including all liabilities to me, my personal representatives, assigns, heirs or next of kin, claims, actions, damages, costs or expenses of any kind arising out of or relating to me or my guests' use of event facility or gathering or participation in events provided by Providence Healing Studio, LLC, and understand and agree that this release includes any claims based on the actions, omissions, or negligence of Providence Healing Studio, LLC, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after attending a special event provided by Providence Healing Studio, LLC.
I clearly understand and agree that all services rendered to me are charged directly to me and that I am personally responsible for payment which is due at the time of booking my service(s).