Magnetic Mind Hypnotic Body
Star Daly
CONFIDENTIAL: Medical Disclaimer Form & Terms and Conditions
I fully acknowledge and agree that the following conditions, warnings and disclaimers shall apply to all treatments, sessions and information provided by my therapist/practitioner:
My practitioner/therapist does not hold himself or herself to be a G.P., doctor, physician, nurse, physician’s assistant, or any other medical professional (“Medical Provider”).
My practitioner/therapist does not hold himself or herself to be my psychologist, psychiatrist, or social worker (“Mental Health Provider”).
Before participating in any treatment for a medical condition I have sought the advice of a qualified physician or Medical Provider (G.P./Doctor etc).
I am not to perceive or rely upon in any way the information and treatment I receive from my therapist/practitioner, as medical advice or mental health advice.
Any treatment or information provided by my therapist/practitioner is not intended to be a substitute for professional medical advice, diagnosis or treatment that can be provided by my own doctor, physician, G.P., consultant, nurse practitioner, physician assistant, mental health practitioner, licensed dietician or nutritionist, or any other licensed or registered health care professional.
I will not use any information provided by my therapist/practitioner in lieu of professional advice given by qualified medical professionals and I will not disregard professional medical advice or delay seeking professional advice because of information I receive from my therapist/practitioner.
I will always seek the advice of my own Medical Provider and/or Mental Health Provider regarding any questions or concerns I have about my specific health condition before implementing any recommendations or suggestions from my therapist/practitioner.
I will not stop taking any medications without speaking to my doctor, G.P., physician, consultant, nurse practitioner, physician assistant, mental health provider or other healthcare professional.
If I have or suspect I have a medical or mental health issue, I will contact my own G.P. or health care provider promptly.
If I know or suspect that I may be pregnant, have an dangerous eating disorder, or have any other physical, psychological, emotional or medical or mental health condition, it is imperative that I seek the advice of my G.P., doctor or other health care provider prior to using my therapist/practitioners services.
My therapist/practitioner is not providing health care, mental health care, medical or nutrition therapy services or attempting to diagnose, treat, prevent or cure in any manner whatsoever any physical ailment, or any mental issue, disease or condition.
My therapist/practitioner is not giving medical, psychological, or religious advice whatsoever.
I am participating voluntarily in using my therapist/practitioners services and am solely and personally responsible for my choices, actions, and results, now and in the future.
I accept full responsibility for the consequences of my use, or non-use, of any information provided by my therapist/practitioner, and I agree to use my own judgment and due diligence before implementing any idea, suggestion or recommendation from my therapist/practitioner to my life, family or business.
My therapist/practitioner’s role is to support and assist me in reaching my goals, but my success depends primarily on my own effort, motivation, commitment, and follow-through.
My therapist/practitioner cannot predict or guarantee that I will attain a particular result, and I accept and understand that results differ for each individual.
My results will depend on my background, dedication, desire, motivation, actions, and numerous other factors, and there are no guarantees as to the specific outcome or results I can expect from using my practitioners services.
Payment is due at the end of each session in full.
Cancellation of appointments may be made no less than 24 hours prior to the start of the session. Cancellations within 24 hours or no-show appointments will be charged one half of the session fee, which must be paid prior to scheduling another session.
I understand that operating a vehicle or heavy machinery after a session, or listening to a recording of a session while operating a vehicle or heavy machinery, is not advised.