By signing below, I acknowledge and agree that: I am here to learn about and/or receive holistic health and wellness treatments, holistic nutrition advice and better health practices and that I may be offered information about food supplements, herbs, reiki, essential oils, gemstone therapy, energy balancing, meditation, yoga and relaxation techniques as a guide to general good health and this is considered to be for educational purposes only.
I fully understand that those who counsel me from Karma Lifestyle Yoga & Holistic Health, specifically Francesca Bonta, are not medical physicians and do not practice medicine. I am not here for medical diagnostic purposes or treatment procedures. The services performed by from Karma Lifestyle Yoga & Holistic Health may include hands on touch, consultation and coaching on the subject of holistic health, wellness and holistic nutritional matters intended for the maintenance of the best possible state of overall health and wellness and do not involve the diagnosing, treatment or prescribing of remedies for disease.
I also understand that it is my responsibility to discuss any and all information provided during consultations and coaching with my primary health care provider or any other health care providers/specialists whose care I may be under. I release Francesca Bonta, from Karma Lifestyle Yoga & Holistic Health any and all legal liability during my participation with Karma Lifestyle Yoga & Holistic Health. I assume sole responsibility for my own health and for the results of any sessions provided by from Karma Lifestyle Yoga & Holistic Health that may affect my health in any way. All information received by me from Francesca Bonta is accepted with full knowledge that any action taken by me as a result of the information received is my complete responsibility.
Due to privacy regulations, your information will be held confidential and not shared with anyone.
Signing indicates indicate that you have been advised of all consultation fees & you are aware that these services may not covered by insurance and that you are responsible for all fees incurred.