WAIVER AND RELEASE
I acknowledge that Vijay Vaishnav and/or Daxa Vaishnav (Service Providers), who practice Classical Homeopathy, have each completed six years of college education in Homeopathy and hold a M.D. (Doctor of Medicine) degree in Homeopathy from Dr. Babasaheb Ambedkar University in Aurangabad, India, a school accredited by the Central Council of Homeopathy, New Delhi, India. Each of them has over twenty-five years of experience in Classical Homeopathy. They have also taught Homeopathy for over twenty-five years at C.M.P. Homeopathic Medical College, Mumbai, India.
I acknowledge that Service Providers are not licensed physicians in the State of California and are providing services under Sections 2053.5 and 2053.6 of California’s Business and Professions Code, subject to requirements and restrictions. I understand that the nature of the services provided by them involves an interview to gather the information needed, analysis of this information, recommendation of a homeopathic remedy and assessment of the action of the remedy at follow up consultations. I further acknowledge that their services are alternative or complementary to healing arts services licensed by the State of California, are therefore limited in scope, and not a substitute for medical supervision and advice.
I acknowledge that I am seeking alternative therapy in the form of lifestyle, educational, nutritional, and homeopathic advice and/or recommendations. I am not seeking diagnosis or treatment of specific medical, pathological or psychological conditions, but rather an enhanced state of overall mental, emotional, and physical wellbeing. I affirm that if I desire a diagnosis or treatment for any medical condition, I must consult a physician.
I understand that the outcome of homeopathic advice varies by individual, and is not guaranteed.
I understand and affirm that in the services provides by Service Providers, nothing whatsoever is intended to diagnose, mitigate, prescribe, treat, cure or prevent any disease or illness or symptoms as defined by the FDA and the State of California, nor do Service Providers treat, prevent, or mitigate adverse events associated with a therapy for a disease.
I hereby, on behalf of myself and my heirs, executors, administrators waive, release, remise, discharge and hold Service Providers harmless from any liability resulting in any possible damages or loss during our association. I hereby assume all risks of personal injury, or other damages which may result with my association with Service Providers. I hereby indemnify and hold harmless Service Providers from any and all claims, damages, costs or liabilities including attorney's fees and costs, based on or in any way related to the homeopathic remedies and/or recommendations which I (or my child) receive.
I have received a copy of this Consulting Agreement.