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#1 General Health Questionnaire

Waiver  and Policy


Please read before submitting these questionnaires


By submitting these questionnaires for assessment, I have agreed to the following:

  • I understand that the practitioners comply with the privacy regulations of their professional associations

  • I have knowingly provided my correct  and known medical information and current condition,  and I understand that it is my responsibility to update the practitioners on any changes to my condition or medications. 

  • I understand that there is no warranty or guarantee regarding  program outcomes. I understand that natural health care is a joint responsibility between me and the practitioner and may involve lifestyle changes.

  • I understand that  the information I receive is provided as education and suggestions, and that the practitioners do not diagnose, treat or prescribe.

  • I understand that I am solely responsible for the consequences of any recommendations I choose to follow. I agree to hold harmless Solas Health for any decisions I make regarding my participation in any programs or consultations. 

  • I understand that this service is not an isolated system and that I may be referred to other practitioners.

  • I understand that the decision to discontinue prescription medications or any prescribed medical treatment is my responsibility. If I forgo standard medical treatment in favor of natural choices, I assume responsibility for any risk that may entail.

  • Since we are unable to obtain your signature at this time, the submission of the Questionnaires attests to your  acceptance of our Waiver and Policy.

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