I personally acknowledge that the Nutritional Profile, Evaluation, Suggested Nutritional Program and any Supplemental materials such as vitamins, minerals, enzymes and herbs are not for the diagnosis, treatment, cure, alleviation, prevention or care of any disease of any kind. I agree that I am completely responsible for obtaining qualified medical assistance for any such services for the care of any disease or pathological condition.
I reserve the right to use the knowledge I gain from this consultation in any legal manner I may choose in the care of my own body. I further declare that the sole reason for requesting the services from this office is for obtaining a suggested natural nutritional program for the building of my health and well-being.
I completely understand that consultations are limited to education in matters pertaining to the improvement in the overall health and physical fitness for maintenance of the best possible state of physical, mental and emotional health. These subjects may or may not include the examination of urine and saliva. Such procedures are not for the diagnosis or treatment of any health condition or disease.
I acknowledge that I am free to obtain a second opinion from another practitioner at any time I feel it is necessary. I understand that all I say during my consultation and information concerning myself can be released to another alternative health practitioner only with my signed consent.
I acknowledge that I am not a representative of a branch of a municipal, state, U.S. Government, the American Medical Association or the Federal Drug Administration. I understand that Melodee Voyles is not a medical doctor, does not prescribe, diagnose, treat, cure, prevent or heal any disease or make claims thereof.
I have fully read and completely understand the above listed information and I do hereby request that I be allowed to participate in a health consultation.