Disclaimer and legal consent
I hereby voluntarily consent to the performance of Ayurvedic Consultation and/or Therapy, counseling, and recommendations for myself by Practitioner at Vanashree Ayurveda.I understand that methods or therapies may include Ayurvedic Therapies, herbal recommendations, health counseling, and dietary and lifestyle guidance. I understand that Ayurvedic Medicine is a form of holistic health care which may include health and nutritional counseling as well as therapies which aim to address imbalances in the body and mind. I understand that Shirodhara, Panchakarma and other services provided are forms of natural Ayurvedic therapy which may be contraindicated under certain conditions, I acknowledge these contraindications.I understand that Ayurvedic Medicine is a safe method of addressing imbalances of the body-mind-emotions-spirit and their root cause but that may on occasion result in the temporary surfacing of uncomfortable emotions and/or sensations. I understand that these occurrences are a natural part of the process of the body-mind reaching a state of balance. I also understand that there is always a possibility of an unexpected complication. I understand that no guarantee can be made concerning the results of the therapy.
If Pregnant, I must notify the Practitioner immediately so that I can be informed of the possible risks and contraindications of therapy while pregnant.
I understand that the evaluation given to me is either an energetic assessment of the functioning of the Chakras and energy state of the body according to the balance of the three doshas, their qualities (gunas), the dhatus (tissues), the srotas (channels), and the malas (wastes) of the body; the causal factors for imbalance (poorvarupa and rupa), and their course of imbalance (samprapti) ,unique constitution (prakruthi) current imbalances (vikruti) according to Ayurvedic Medicine.
It in no way purports to be nor replaces allopathic (western) medical evaluation, diagnosis, or treatment. I understand that the practitioner Vanashree Belgamwar at Vanashree Ayurveda is neither a licensed physician nor a Medical Doctor and does not diagnose or treat medical conditions.I have been advised to consult a licensed physician for any medical problems I may have in addition been advised to consult a physician if a new symptom should arise. If there is a worsening of my ailment or condition or it does not improve within the time estimated by my practitioner, I am aware that I should consult a physician. I understand I am fully responsible for all decisions I make regarding whether and when to seek medical treatment.
I understand that I may refuse or stop therapies and consultations at any time. Individual experiences and diagnosing techniques may vary from person to person. Not all therapies and supplements are advisable for all clients. I have read, or have had read to me the contents of this consent in its entirety. I have also had an opportunity to ask questions about its content, and by signing below I agree to the above-named procedures. I intend this consent form to cover all interactions, consultations, courses, Therapies, and recommendations for my present condition and for any future condition(s) for which I may seek advice.
Vanashree Ayurveda is a complimentary Ayurvedic holistic wellness center designed to be informative, educative and supportive of establishing a balance of health within body-mind-spirit and emotions, through maintenance of health and prevention of imbalances. Vanashree Ayurveda has not been evaluated by the Food and Drug Administration. None of the information, treatments or products are intended to diagnose, treat, cure or prevent any disease. For medical concerns or before making changes to your diet or lifestyle, please consult your physician.
Please DO NOT take Vanashree Ayurveda as a means to substitute your medical treatment. Ayurveda is a long term, slow-acting therapy that includes diet, lifestyle changes along with stress management with Ayurvedic bodywork, yoga and meditation practices. IT IS NOT A MEDICAL PLAN. It is the therapy that slowly builds immunity introducing the healthy habits for improvement of health and helps to prevent the risk of imbalances such as chronic diseases. It is NOT AN ALTERNATIVE PLAN for medical treatment.
Vanashree Ayurveda is NOT a medical facility or provide emergency services.
Please call your physician, medical facility or emergency services for ALL medical complaints.