Informed Consent Form

Before undergoing group or individual session with Master Bone, it is important that you know and agree to general information including the risks and benefits.

This form must be signed prior to appointment.

1

THE PROCEDURE

The procedure will be performed with the client either in a lying down or seated position, depending on the areas that require attention. In some cases, the client may be asked to lie on the floor if stretching or PIR (Post-Isometric Relaxation) techniques are deemed necessary. The client should be aware that massage oils will be used during the session, and this will involve skin contact. To ensure modesty and comfort, private areas shall be covered with loose clothing, towels, or sheets.

Clients are required to inform the practitioner of any allergies to herbs or medications, as herbal oils will be utilized during the treatment. Please note that these oil products are not FDA-approved and have not been clinically tested.

Clients may also choose to provide their own oils or lotions if preferred.

2

RISKS OF THE PROCEDURE

There are no known risks associated with the procedure, and none have been reported. However, please inform Master Bone if you are pregnant or nursing. Please indicate ALL existing health conditions. It is preferred that the client provides any existing images such as MRI, CT scans, or X-rays, if available.
During the session, the client may enter a deep state of meditation, as music at 668 Hz will be played. The client is encouraged to relax fully. If there are any concerns, the client is required to consult with their physician.

3

BENEFITS AND HEALTH PROTOCOL

A variety of benefits have been reported by former clients, including improved health and overall well-being—not only physically, but also mentally, emotionally, and spiritually. One hundred percent of current and former clients have reported feelings of joy and happiness in their pain-free lives. Several clients have reported that, after following the recommended plans, some surgeries or procedures were deemed unnecessary by their physicians.The number of sessions required may vary depending on the severity of the condition. Clients are encouraged to understand that one session or only a few sessions may not be sufficient for lasting improvement. Mr. Bone will determine the duration of the required procedures, as well as the health protocol and schedule that clients are expected to follow if they choose so.

Master Bone may choose to discontinue working with a patient who does not adhere to the scheduled appointments or health protocol. Client may request to cancel protocol at any time. Client shall agree to our cancelation procedures.

Client must review and agree to Terms of Service and Cancelation Policy posted on the bottom of the front page on www.ElijahBone.life

CONSENT STATEMENT

I have read and understood the information provided above. I understand the possible risks of the treatment and its benefits. I have had the opportunity to inquire about details and these were answered to my satisfaction.

I understand that my records may be reviewed by the administration and staff of the clinic, and I understand that these records will remain confidential within the said clinic and will only be released with my written consent.

By signing below, I voluntarily express my consent to the treatment and agree with terms of service and cancelation policy.

Name

First NameMiddle NameLast Name

Signature

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