• Image-1
  • Client Informed Consent Form

  • I acknowledge and confirm that:
    1. I am of legal age and I am requesting a consultation from Wendy Hansen, RN.
    2. This consultation, and/or essential oils application is for educational purposes and is not intended to diagnose or treat disease.
    3. I understand this consultation is not to replace medical care and I will seek medical treatment from a licensed health care provider, if required.
    4. I understand botanicals (including essential oils) may be contraindicated with certain health conditions, and that botanicals (including essential oils) can interact with prescribed medication. For this reason, I understand it is my responsibility to notify any healthcare provider of any essential oils, herbs, and/or dietary supplements that I may be taking.
    7. I understand essential oils are not regulated by the Food & Drug Administration.
    8. I understand that no guarantees are made regarding the results from Aromatherapy, essential oil application, or natural health methods, and that achieving wellness requires my commitment to my own good health, whether through diet, exercise or stress relief.
    9. I am under no obligation to follow any recommendations for lifestyle changes made by Wendy Hansen, RN.
  • In consideration of my acceptance as a participant in this/these private consultation(s) and/or essential oil application(s), I do hereby release and discharge Wendy Hansen, RN, from all claims of damages, demands, or actions whatsoever in any manner arising from or growing out of my participation.
  • Clear
  •  - -
  • Elevate 4 Life, Client Consent Form
  •  
  • Should be Empty: