LIMITATION OF LIABILITY. I do not assume any responsibility, or liability, for any damages to, or any viruses that may infect, your computer, telecommunication equipment, or other property caused by or arising from your access to, use of, or browsing this web site, or your downloading of any information or materials from this web site. In no event will I nor any party involved in the creation, production or transmission of this web site, be liable to you or anyone else for any direct, indirect, special, punitive, incidental or consequential damages arising out of the use, inability to use, or the results of use of this web site, any web sites linked to this web site, or the materials, information or services contained on any or all such web sites, whether based on warranty, contract, tort or any other legal theory and whether or not advised of the possibility of such damages.
DISCLOSURES. You agree to fully disclose to me all medications or drugs taken, including those taken in the past, in relation to your disease, as well as other medications and drugs used or being used as maintenance. The duty to disclose shall include all aspects of your underlying disease (if any), including your state of mind that may likely affect your capacity to make an informed decision.
Any medical history or incidence of the following shall be properly declared: experience of fit, fainting, use of pacemaker, a bleeding disorder, taking of anti-coagulants, damaged heart valves or any other particular risk of infection.
If you are determined to be incapacitated or incompetent to make decisions regarding your health, you agree to provide information regarding a surrogate-decision maker who can legally speak and assist in making decisions for you.
RISK OF SELF TREATMENT. Potential risks of self-treatment include allergic reactions, sensitivities, adverse effects to natural supplements and adjustments to recommended lifestyle modifications. Although this consent form describes major risks of treatment, other side effects may occur.
YOUR RESPONSIBILITIES. You agree to take full responsibility for taking any natural remedy I suggest. You further agree that I am not liable for any adverse effects or complications from such natural remedies. You agree to cease taking all natural remedies upon the onset of any adverse effects. You fully understand that the supplements and herbs need to be consumed according to the instructions I give you orally and in writing. Some herbs and /or products may have an unusual or unpleasant taste or smell. You agree to immediately notify me of any unanticipated or unpleasant effects associated with the consumption of the supplements or herbs. You will also notify me if you become pregnant, or start breast feeding as some supplements, or herbs may be inappropriate during pregnancy and/ or breast feeding. You do not expect that I will be able to anticipate and explain all possible risks and complications of treatment and you understand that the results are not guaranteed.
YOUR REPRESENTATIONS. By voluntarily signing the consultation form, you confirm that you have read or have had read to you and that you have understood these terms and conditions. You further confirm that you have been told about the risks and benefits of nutritional and lifestyle consulting, and that you have had an opportunity to ask questions. You intend this consent form to cover the entire course of treatment for your present condition and for any future conditions for which you seek treatment.
ARBITRATION. Should you have any complaint, you agree to discuss it with me. If I am unable to resolve it, you further agree that such dispute, controversy or claim shall be resolved by arbitration in accordance with the ACICA Arbitration Rules, without prejudice to the applicability of the UNCITRAL Arbitration Rules as at present in force, where applicable. The seat of arbitration shall be in Adelaide, Australia.
Reasonable discovery shall be permitted and the prevailing party shall be entitled to attorney’s fees and the cost of the arbitration.