Juicing, Herbs & Cleansing -Waiver
  • Juicing, Herbs & Cleansing consent waiver

    Please take your time to fill out this quick form that lets me know a little bit about you!
  • Date of Birth
     - -
  • Format: (000) 000-0000.
  • Acknowledgment of Advice
    I understand that the advice provided regarding juicing, herbs, and cleansing is for informational purposes only and is not intended to diagnose, treat, or cure any medical condition. I acknowledge that it is my responsibility to consult with a healthcare professional before making any changes to my diet or lifestyle.

    Personal Responsibility
    I understand that juicing and cleansing may have varying effects on individuals and that results are not guaranteed. I am solely responsible for my own health decisions, including any reactions to the advice, herbs, or juices recommended.

    Liability Waiver
    By signing below, I release BoSante Healing from any and all liability related to the advice given, including any injury, illness, or adverse reactions that may occur from implementing the juicing or cleansing recommendations. I agree to take full responsibility for my health and well-being.

    Confidentiality
    All personal and health information shared will remain confidential and will not be disclosed without my consent, except as required by law.

    Signature
    I confirm that I have read and understood the information above and voluntarily agree to the terms outlined in this waiver.

  • Date
     - -
  • Should be Empty: