DISCLAIMER and CONSENT
Please read this DISCLAIMER before proceeding to contact Dr. Gauri
whether by E-Mail or Phone or even before scheduling an appointment
to visit Dr. Gauri Healing Centers.
Consent
Form
By using WELLBEEN AEONS services either via the Internet
or web site or Email or by speaking to WELLBEEN AEONS over the phone
or via webcam or
even before scheduling an appointment to visit WELLBEEN AEONS Healing Centers,
you are deemed to consent to the terms and conditions of the
following disclaimer. WELLBEEN AEONS reserves the right to change these
terms and conditions at any time by posting changes online. You
are responsible for regularly reviewing information that are posted
online to get notice of such changes and amendments.
You hereby agree that you voluntarily seek the Alternative
Medicine based health care services from WELLBEEN AEONS and its subsidiaries,
affiliated employees and staff of her Healing Centers.
You hereby agree that the Alternative Medicine based health care services from WELLBEEN AEONS and its subsidiaries, affiliated employees and staff of her Healing Centers are intended to complement, not replace, the advice of your own physician or other healthcare professional, whom you should always consult about your individual needs and any symptoms that may require diagnosis or medical attention and before starting or stopping any medication or starting any course of treatment, exercise regimen, or diet.
You fully understand
that Alternative Medicine based healing practice uses many diagnostic and treatment methods that are known as Complementary
or Holistic. Some of the characteristic qualities of complementary medicine that are used in the Alternative medicine
healing practice include the following:
1. Health Rejuvenation is created through a partnership
between the patient and the doctor. The values of trust and mutual
respect,
understanding, caring, and fairness are the cornerstones of such
a partnership, and in this manner, these values potentiate the
impact of the doctor-patient relationship on the healing process.
2. Health Rejuvenation focuses on enhancing four
(4) dimensions of health – the physical, emotional, mental,
and spiritual, rather
than focusing on the physical body alone.
3. A person’s lifestyle including his or her
diet, exercise patterns, sleep habits, stress and interpersonal
relationships, are believed
to be directly related to the development and maintenance of health.
Complementary medicine evaluates these factors and seeks
to help patients to give up negative lifestyle patterns and establish
more positive ones regardless of age or type of medical
problem.
4. Although prescription and over-the-counter medications
are used when the physician believes it is necessary, an attempt
is first
made to use products that are natural to the body with a primary
focus on health production rather than on disease treatment.
These include nutritional supplements such as vitamins, minerals,
enzymes, amino acids, essential fatty acids and herbs. And
may also include yoga, Meditations, Beej Mantras etc, as prescribed
for Holistic healing.
5. You also understand that no warranty or guarantee
has been made to you as to result of care. You also realize that
just as there
may be risks and hazards in continuing your present condition
without conventional medical treatment, there are also risks and
hazards related to the performance of the integrative and complementary
procedure(s) planned for you.
6. You have been given an opportunity to ask questions
about your condition and conventional treatment, integrative and
complementary treatment, alternative forms of treatment, risks
of treatment, risks of non treatment, procedures to be used, and
the risks and hazards involved, and you agree that you have sufficient
information to give this informed consent.
You hereby agree to have completely read, understood
and completely accept to all the above. You further agree that
you are
solely responsible for the payment of the consultation and material
services provided during the treatment and you agree that you
are responsible with regards to Insurance claims and payments.
You also agree that you are fully aware of cost of all services
and Procedures involved. You also agree to defend, indemnify,
and hold harmless Dr. Gauri, its subsidiaries, and the respective
officers,
directors, employees and agents of each, from and against any
and all losses, claims, damages, costs and expenses which you
may
become obligated to pay arising or resulting from use of any of
the suggested Alternative Medicine treatment or remedies.
You understand that you have the right to review
this Consent Form with a lawyer if you choose before accepting
any services from
WELLBEEN AEONS. You have executed this Consent Form freely and willingly,
and understand its provisions.
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