Biofield Therapy Waiver

Waiver, Informed Consent, and Covenant Not to Sue

I hereby acknowledge I have volunteered to participate in a paid or unpaid session, with Aleksandra Laskowska and resowave LLC, to include, but also may not be limited to, any and all services provided, such as biofield sessions, energy work, wellbeing coaching, guidance, classes, product offerings, resource suggestions, bioresonance sessions, and workshop attendance. In consideration of the agreement of resowave LLC to instruct, assist, advise, or train me, I do here and forever release and discharge and hereby hold harmless the resowave LLC and its respective agents, heirs, assigns, contractors, and employees from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in a session or purchase or any program without limitation, which may occur following advice and services tendered and released, or training rendered, or use of facilities during a session or event. I recognize that in no way does any member of resowave LLC provide legal, medical, or therapeutic advice and it is my responsibility to secure such advisement. I promise to confer with my medical practitioners and physicians regarding any and all changes to my healthcare program.

I understand that services and recommendations provided by Aleksandra Laskowska and agents of the resowave LLC are holistic, complementary, and integrative in nature, and do not replace conventional medical assessment or treatment; I understand that the devices utilized in sessions are considered research instruments and are not recognized by conventional medicine in the U.S. There are no known detrimental side effects. Any testing results provided by the resowave LLC and its agents represent energy measurements only. Additionally, I understand that Aleksandra Laskowska is not a licensed physician or medical practitioner and that her services are not licensable in the U.S.; I further understand that Aleksandra Laskowska is not formerly licensed to diagnose illness, make recommendations involving pharmaceutical drugs or surgery, or handle medical emergencies.

I acknowledge and agree that I assume the risks associated with any and all activities, offerings, products, services, recommendations, classes, sessions, and/or programs in which I participate or purchase. I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from any resowave LLC service, insight, guidance, resource, product, or program. I understand that results are individual and may vary. I also understand that my commitment to and participation in my own wellbeing contributes to my progress. I hereby commit to supporting my own health and wellbeing to the best of my ability. I or my representative(s) agree to fully release and hold harmless Aleksandra Laskowska and resowave LLC from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s).

Confidentiality / Client Rights

My experiences during sessions and over the duration of a wellbeing program are confidential, and I maintain the right to view my files upon written request.Confidentiality is subject to the following exceptions:                         

1. I may instruct resowave LLC to release information to other health care practitioners in writing.

2. resowave LLC may release my information if subpoenaed or otherwise legally obligated or reasonably allowed to do so (including circumstances where there is clear and imminent danger to myself or another person).

3. My confidential personal file is kept in a secure location and is retained by resowave LLC for 4 years after I suspend services in writing, after which time all information will be destroyed in a proper manner.

4. My confidentiality is always subject to the usual exclusions dictated by state and federal laws and regulations. I certify that I seek services of a resowave LLC solely in my personal capacity and do not represent any governmental agency, law firm, attorney, or investigator. I am not involved in a lawsuit nor am I gathering information for a potential lawsuit.

 

I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS INFORMED CONSENT AND WAIVER AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST resowave FOR NEGLIGENCE OR THAT OF ITS EMPLOYEES, AGENTS, OR CONTRACTORS.