These Terms of Service are designed to comply with FDA regulations.
Acknowledgment and Waiver of Liability
Please read and acknowledge by checking the box labeled “I agree” and select button labeled “Submit.”
I accept full responsibility for my health and voluntarily complete this Acknowledgment and Waiver of Liability.
I certify that I am seeking the questionnaire and services of Dr. Veronica Collings, which I fully understand are not medical diagnoses or treatments or substitutes for medical diagnoses or treatments.
I certify that with respect to any medical conditions or concerns I may have, I have been advised to consult with my personal care physician, and understand that Dr. Veronica Collings, is not a primary care physician, and I do not view her as my physician. Dr. Veronica Collings specializes in a natural approach to healing including, but not limited to, nutrition, herbs, and homeopathic remedies. I understand that Dr. Veronica Collings does not handle medical conditions or emergencies and does not maintain hospital privileges.
In seeking to become a client of Dr. Veronica Collings I will understand I am seeking analyses and/or therapies that may not be FDA registered or approved and may not be offered by practicing physicians (conventional or otherwise) and which may be considered experimental.
I understand and agree that Dr. Veronica Collings does not make any claims whatsoever, expressed or implied, regarding effects or outcomes of the analyses or therapies provided, and shall not be liable for same. I certify that I seek the advice and treatment from Dr. Veronica Collings solely in my personal capacity, and do not represent any governmental agency, law firm, attorney, or investigator. I am not involved in a lawsuit nor am I gathering information for a potential lawsuit.
I understand and agree on behalf of myself, my dependents, heirs, administrators, legal representatives, and assigns, to release and hold harmless Dr. Veronica Collings, and any and all associates, employees, agents and representatives thereof, from any and all liability for illness, injuries, or death, and for any losses or damages relating thereto, however occurring, in relation to my consultation with and/or treatment by Dr. Veronica Collings. Without limitation, I understand and agree that Dr. Veronica Collings, nor any associates, employees, agents or representatives thereof, is liable for any direct, indirect, consequential, or incidental damage, injury, death, loss, delay, or inconvenience of any kind which may be occasioned by reason of any act or omission, including, without limitation, any willful or negligent act or failure to act, or breach of contract.
My signature below indicates that I have carefully read and reviewed this Acknowledgment and Waiver of Liability, and I fully understand all of its terms and conditions; I recognize and accept all risks and limitations involved in seeking advice and treatment therapies from Dr. Veronica Collings, and associates, employees, agents and representatives thereof; I have not relied upon any other promises, agreements or representations by, or any associates, employees, agents of Dr. Veronica Collings or representatives thereof concerning the treatment provided or the terms of this Acknowledgment and Waiver of Liability; I have been encouraged by Dr. Veronica Collings to seek the advice of legal counsel concerning this Acknowledgment and Waiver of Liability; and I execute and deliver this Acknowledgment and Waiver of Liability freely and voluntarily and without duress or coercion and with full knowledge of the representations contained herein and the rights relinquished, surrendered, released and discharged hereunder.
UNDERSTOOD, ACCEPTED AND AGREED
Please read and check the box labeled “I Agree” then select button labeled “Submit”