I understand that I will obtain knowledge about holistic nutrition and better health practices and that I will be offered information about food, supplements, and herbs 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 are not medical doctors and I will not obtain medical-diagnostic services or treatment procedures. I am not, on this form or any subsequent forms, an agent for federal, state, or local agencies or on a mission of entrapment or investigation. The services performed by Cree Simpson and Herb N Balance are at all times restricted to consultation on the subject of nutritional matters intended for the maintenence of the best possible state of nutritional health and do not involve the diagnosing, treatment, or prescribing of anything for disease. I also understand that it is my responsibility to discuss any and all information provided during this consulation with my primary care provider or any other health care providers/specialists whose care I may be under. I understand that typing my name below will represent my signature and agreeance of this form.