Please read carefully.
I (the client) am willingly seeking health / herbal guidance and hereby attest to the following:
• I (the client) fully understand that Mystical Herbal Alchemy (M.H.A) is operated by a plant medicine worker/ certified herbalist, and does not claim to be / or act as a licensed medical professional.
• M.H.A neither diagnose nor directly treat disease. Instead their focus is on the re-education of the herbal useage within the population, and how to best enhance the bodies innate healing capacity, through plant medicine interaction.
• Suggestions and treatments offered for individual well-being and are not intended to take the place of qualified professional medical care, including the diagnosed treatment of named diseases. (Please consult your medical care provider before using herbal medicine, particularly if you have a known medical condition)
• I (the client) take full responsibility for my own health whilst using M.H.As services. I acknowledge the vast, complex nature of alternative therapy and agree to use it responsibly.
• I (the client) overstand that each individual will interact and react differently to herbal medicine.
• I (the client) acknowledge that some herbal helpers are contraindicated with certain pharmaceutical drugs, and therefore are sometimes confused with harmful and/or deadly substances.
• I (the client) agree that all nutritional supplements, herbs, extracts, remedies, etc. provided by M.H.A are taken at my own risk. I acknowledge such risks and take full responsibility for the reactions that I may/may not encounter whilst using any M.H.A compounds.
• As with any ingested substance, allergic reaction is a possibility in some individuals. I (the client) have disclosed the necessary information regarding allergies/sensitivities and, so are aware of the risks and consequences involved, if a negative reaction was to occur.
• I (the client) agree that I and my heirs, guardians, legal representatives and assigns will not make claim or file any action against Mystical Herbal Alchemy or any members of Mystical Herbal Alchemy for injury or damage resulting from negligence or other acts, whatsoever, caused in connection with services recieved.
• I (the client) also understand that Mystical Herbal Alchemy will not be held responsible for errors/ ingredients on the part of any manufacturer or supplier of products offered.
• I (the client) have carefully read and fully understood the content within this agreement. I the parent/guardian am aware that this is a waiver and release of potential liability and a contract between Mystical Herbal Alchemy and myself. I hereby give consent of my own free will.
By signing this document you acknowledge and agree to all the terms detailed above.