I hereby authorize Dr. Kelby Myers to perform any combination of dry needle acupuncture, electrical stimulation of needles, acupressure, lacer, massage therapy, physical therapy or herbal or supplement recommendation that she deems necessary for the treatment of my animal blanks. I am aware that there are inherent risks with any procedure, and the nature and purpose of the above-listed procedures, as well as any potential side effects, have been fully disclosed. I understand that these treatments are considered complementary or alternative medicine and are not a substitute for conventional Western medicine. I acknowledge that no guarantee of results has been made.