#1 General Health Questionnaire
Waiver and Policy
WAIVER and POLICY
Please read before submitting these questionnaires
By submitting these questionnaires for assessment, I have agreed to the following:
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I understand that the practitioners comply with the privacy regulations of their professional associations
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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.
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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.
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I understand that the information I receive is provided as education and suggestions, and that the practitioners do not diagnose, treat or prescribe.
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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.
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I understand that this service is not an isolated system and that I may be referred to other practitioners.
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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.
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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.