INFORMED CONSENT FORM:
I hereby attest and agree to the following:
I understand that Mary Dravis-Parrish dba Enhanced Living LLC is certified in Access Bars®,Access Body Processes®, RESET, and is a certified facilitator and is not a licensed physician and cannot diagnose disease, prescribe drugs or recommend treatments for specific diseases.
I understand that Mary Dravis-Parrish does not claim or imply that with any advice, counsel, suggestions, recommendations or services that she may provide whether in person, by mail, by e-mail or by telephone will cure, treat, prevent or mitigate any disease condition.
I certify that Mary Dravis-Parrish has not suggested that I cease any medical care I may now be undertaking. I further state that the decisions I make regarding my health care or the health care of those under my guardianship are my responsibility and that I will not hold Mary Dravis-Parrish or Enhanced Living LLC accountable for any consequences of my decisions.
I further understand that I am responsible to pay for my scheduled appointment in full on the date such service is rendered. If I miss an appointment without giving 24 hour notification, I understand I will be billed $35 per missed hour of appointment– except for approved emergencies.