Release of Liability Disclaimer

LICENSING DISCLAIMER

"I am not a licensed clinical psychologist or a medical doctor and cannot provide a diagnosis. My healing services should not be considered a substitute for clinical counseling by a licensed psychologist".

PARTICIPATION 

In consideration of services provided by Dr. Michael Hofrath, operating as, Body Mind Wholeness Inc. (referred to as BMW Inc. hereafter), the undersigned, being legally competent and fully authorized and empowered to do so, does hereby release, acquit, and forever discharge Dr. Michael Hofrath and BMW Inc. from any, and all actions, courses of action, claims, demands, injuries, damages, costs, loss of service, expenses and compensation, on account of any and all known and unknown personal injuries, mental anguish or agitation, and damage claims to person or property resulting from or arising out of the services provided.

CONFIDENTIALITY

Any, and all, discussions and information exchanged, or shared, with Dr. Michael Hofrath is considered confidential, privileged information. However, there are four situations in which client information may be legally shared with or without a client's permission. These situations include:

1. If children are physically, sexually abused or neglected the proper authorities must be notified.

2. In emergency situations where there may be danger to the client or others, as with homicide or suicide, confidentiality may be broken.

3. If a court of law issues a legitimate subpoena relating to a child abuse case, I am mindby law to provide the information specifically described in the subpoena.

4.If an unreported life-threatening felony has been committed, confidentiality may be broken.

The undersigned expressly acknowledges that services provided by Dr. Michael G. Hofrath, operating as BMW Inc., are in accordance with the guidelines and policies adopted by BMW Inc., whether these policies are stated or not.

The undersigned further acknowledges that the services provided by Dr. Michael Hofrath and BMW Inc. are holistic, integrative, and spiritual in nature, and are not intended to be a substitute for clinical medical treatment. I fully understand that Dr. Michael Hofrath services are holistic integrative and psycho-spiritual health related services and that he cannot diagnose or practice medicine.

WAIVER & ASSUMPTION OF RISK

I understand there are always inherent dangers, hazards, and risks involved when engaging in holistic, integrative, and psycho-spiritual mental health related services, exercises and or activities. I further understand that Dr. Michael Hofrath and BMW Inc. cannot and does not assume any responsibility for any such personal injury, including that of death.

1. I agree to assume all the risks surrounding participation in any, and all, modalities, exercises, and activities undertaken.

2. I release and forever discharge Dr. Michael Hofrath and BMW Inc. from any, and all, liability for any injury, damage, claim, cost, and expense of any nature that may arise out of, or in any manner related to any loss, damage, or injury, including death.

DISCLAIMER OF BMW INC. RESPONSIBILITY

Iunderstand, agree, and release Dr. Michael G. Hofrath and BMW Inc. from any responsibility or liability for any personal injury or harm to my person.

By signing this document, I release and waive certain legal rights that I otherwise might have and attest that I read the document carefully and understand it fully prior to signing.

I represent to BMW Inc. that

(i)I have read this release and fully understand its contents and the effect of its terms and provisions.

(ii)I sign this release on my own free will and accord.

(iii)With respect to the matters set forth in this release, no oral representations, statements, or inducements other than those expressly contained herein have been made to mc by any of the releasees.

(iv)I am over eighteen (18) years of age and fully competent to sign this release.

(v)I execute this release for complete and adequate consideration, fully intending to be bound by the same.

GOVERNING LAW: I agree that this Release shall be construed in accordance with the laws of the State of California and Hawaii.

I have read this document carefully, fully understand the content, and know that it is legally binding, and acknowledge that by signing below, I may release and waive certain legal rights that I otherwise might have.

Somatic Consent Disclaimer

As a somatic therapist Michael will use his judgement to utilize various somatic (body-based) practices including, but not limited to, NeuroAffective Touch during his sessions. Somatic (body-based) practices are considered an integrative and holistic approach for the resolution and healing of trauma wounds. Somatic therapy is fully supported in the current trauma literature through clinical research. Somatic science and practices can include an eclectic array of philosophical approaches and principles such as EMDR, somatic grounding and breathwork exercises, somatic experiencing, sensorimotor psychotherapy, biodynamics, polyvagal theory, focusing and tracking, Hakomi method and various other embodiment practices.

1. Somatic therapies employ awareness of body sensations to help people "renegotiate" and heal rather than re-live or re-enact trauma.

2. Somatic therapies provide guidance of the bodily "felt sense,", allow highly aroused survival energies to be safely experienced, integrated and gradually discharged.

3. Somatic science may employ touch in support of this renegotiation process.

4. Somatic science assists in reducing traumatic memories, emotions and experiences rather than evoking catharsis, which can overwhelm the regulatory mechanisms and nervous system of individuals.

Somatic modalities often result in numerous benefits: relief of traumatic stress symptoms, increased resiliency, resourcefulness, self-realization, individuation, authenticity, and a sense of wholeness in body mind and spirit. As with all treatment approaches there can also be unintended adverse side effects, sleep disturbances, frightening memories, or uncomfortable body sensations.

Somatic modalities NEVER involve sexual touch, or any other dual relationship, which could impair Dr. Michael Hofrath objective therapeutic judgment, or which may be exploitative in nature. For somatic practitioners touch is an integral component of many body-based therapeutic practices. Dr. Hofrath will always ask the client for permission to use touch in advance. Every client has the right to refuse any form of touch.

If touch has been approved, and is being used, it is the clients' responsibility to immediately inform Dr. Hofrath if they feel unsafe or uncomfortable at any time during the somatic treatment process. Dr. Hofrath welcomes all questions pertaining to somatic science or body-based treatment modalities. You have the right to refuse or terminate treatment, or to refuse touch, somatic techniques, or any other treatment intervention at any time for any reason. I have read the above informed consent, understand, and agree to it.

I have read the above informed consent, understand, and agree to it.

Shamanic Practices Disclaimer

Healing by Subtraction

Upon request Dr. Hofrath works throug hhis spirit helpers to address adverse energy intrusions, ancestral trauma, past life and karmic programming, emotional energy cords and entanglemnts, along with other negative spiritually-based energies, such as those generated by difficult relationships, abortions, miscarriages, abuse, injuries and trauma. Additionally, Dr. Hofrath educates client's on how to find, follow and align themselves with correct guidance and how to change aspects of their life to prevent further intrusions.

In addition, Dr. Hofrath works on clearing and harmonizing the energies of the mind such as perception, intuition, memory, and connecting client's minds to both their inner self and their higher self so brain function becomes a useful instrument for living life in a positive manner.

This healing is ever expanding through experiences with individuals who have sought my help. Along with the removal of negative energies and old patterns, Dr. Hofrath may become a conduit for healing energies that are embodied or implanted in clients.

Dr. Hofrath makes no specific claims, promises, or guarantees. I may share "received" experiences, but this is in no way can or should be considered or viewed as a medical diagnosis. It is a spirit-medicine. I do not medically prevent, diagnose, treat, or cure disease. You are solely responsible for continuing with your own medical treatment and emotional self-care.

The undersigned hereby acknowledges that he/she is solely responsible for his/her own wellness and emotional states and that he/she has read and understood the above and has freely and unconditionally agreed to receive and participate in spiritual wellness work; and will hold harmless Dr. Michael Hofrath pursuant to any claims, payments, and/or legal actions pertaining to their work together. Psycho-Spiritual-based healing practices can include healing-related energy work, extractions and subtractions, ceremonies, rituals, and numerous forms of shamanic-healing practices.

Psycho-spiritual shamanic healing practices NEVER involve sexual touch or any other dual relationship that could impair Dr. Hofrath's objective therapeutic judgment, or which may be exploitative in nature. Touch can often be a component of certain shamanic healing practices. Dr. Hofrath will always ask the client for permission to use touch in advance. Every client has the right to refuse any form of touch.