This will acknowledge that you have been scheduled to receive a Maharishi Ayurveda wellness appointment with a Maharishi Ayurveda health practitioner. Such an appointment may include pulse diagnosis and other Maharishi Ayurveda health assessments to evaluate Vata, Pitta, and Kapha (doshas), which can reveal certain qualities of mind and body. According to the ancient Maharishi Ayurveda approach to health precepts, achieving proper balance in such doshas is important for helping achieve an optimum state of wellness.
Such appointment may also include recommendations from a Maharishi Ayurveda health practitioner for diet, daily routine, and lifestyle changes, and specific herbal formulations to support your health may be recommended. This is considered complementary to healing art services licensed by the state.
The Maharishi Ayurveda health practitioner with whom you have an appointment is not a doctor or physician trained for or licensed by the state to practice medicine or surgery, or to prescribe drugs. You will not be required to submit a medical history nor to receive a medical examination, which is a function of your doctor or physician. The Maharishi Ayurveda health practitioner with whom you have an appointment will not undertake to diagnose or prescribe for any disease, illness or injury. No medical treatment will be offered or given, that also being the function of your doctor or physician.
We reserve the right to decline to make an appointment or to cancel or terminate a previously scheduled appointment if we determine that your beauty or wellness concerns are of a medical nature, or for any other reason at the discretion of the Maharishi Ayurveda health practitioner or Maharishi Ayurveda Products International personnel. In such cases, the appointment fee you have paid in full or in part will be refunded. No other expenses you may have incurred in this connection are subject to reimbursement.
If the above is in accordance with your understanding as to what is involved in Maharishi Ayurveda wellness appointment, kindly so indicate in the space provided below for your signature.
I have read, and I understand the foregoing Maharishi Ayurveda Wellness Appointment Agreement, which outlines what will be the scope of the Maharishi Ayurveda wellness appointment I have requested, I specifically understand that the Maharishi Ayurveda health practitioner with whom I have an appointment is not a licensed doctor or physician and that no medical treatment of any kind will be offered or given. Neither the information nor the products recommended are intended to treat, mitigate, cure or prevent any disease. All information is provided for the sole purpose of imparting education on Maharishi Ayurveda.
I hereby fully release and discharge Maharishi Ayurveda and its owners, agents, contractors, and employees (“Released Parties”) from any and all liability, claims, and causes of action, damages or loss which I may have or which may accrue to me on account of participation in or reliance upon any information from a Wellness Appointment. This is a complete and irrevocable release and waiver of liability. I covenant not to sue the Released Parties for any alleged liabilities, claims, or causes of action released hereunder.