Nutritional Body Renewal Waiver and Release

    Nutritional Body Renewal Waiver and Release

    I, the undersigned, understand and acknowledge that Holistic Nutrition Services LLC is NOT treating me for any medical condition and that I am submitting myself for temporary consultations at my own risk, without the benefit of a physician’s examination, on this date and subsequent dates while consulting with or undertaking a program with Holistic Nutrition Services LLC. I also understand the risks involved and the possibility of complications with recommendations and associated nutritional supplementation.

    In consideration of the foregoing and in consideration of consultations at my request, I do HEREBY RELEASE AND FOREVER DISCHARGE Holistic Nutrition Services LLC from any and all manner of actions and causes of actions, damages, malpractice or liability of any kind, nature, or character arising by reason of said consultations, whether heretofore or hereafter occurring, and whether or not now known by all parties thereto. It is the specific intent of this instrument to release and discharge any and all claims and causes of action of any nature whatsoever, whether known or unknown and whether specifically mentioned or not, which may exist or might be claimed to exist at any time prior to or after the date of this instrument.

    I, the undersigned, certify that no guarantees or assurances have been expressed, implied, or made as to the results that may be obtained from the aforementioned consultations or therapies. This therapy is educational and is not a substitute for medical care.

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