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Medical Qigong Therapy Release & Disclaimer Form
PLEASE BE ADVISED that Medical Qigong Therapy, by and through Mr. Peng Her, is not a medical treatment or is it intended to replace traditional medicine, but rather to compliment it. Therefore, as an express condition to such therapy, each participant must agree to the following:
I. DISCLAIMER
- In practicing complementary and alternative medicine, Qigong seeks to support the care of your existing physician, therapist, or acupuncturist. Like any other system of health care, it is not a panacea but a highly effective health care practice. The meditations, practices, techniques and prescriptions described herein are currently practiced within the government hospitals, medical universities and clinics within The Peoples Republic of China.
- These techniques can be very powerful and may in some cases be too mentally and physically demanding for some individuals. The readers should therefore use their own discretion and consult an acupuncturist, medical doctor, or mental health professional before engaging in these exercises and meditations.
- Medical Qigong Therapy, by and through Mr. Peng Her, is neither liable nor responsible to any person or entity with respect to any loss or damaged caused, or alleged to be caused, directly or indirectly by reading or following the instructions for any condition, or interpreting information provided. These sessions are not meant to be used as symptomatic prescriptions. The treatment of specific organs, channels, channel points, and prescriptions must always be selected based on the thorough understanding of the origin of the patient’s disease. If an ailment is severe, or if symptoms persist, please consult a medical professional immediately.
II. RELEASE OF LIABILITY
- That Mr. Peng Her does not diagnose, prescribe, or guarantee any results; nor is this service intended to diagnose, treat, cure, or prevent any diseases. Moreover, this service is not intended to replace a one-on-one relationship with a qualified health care professional, and is not intended as medical advice.
- That if a participant is suffering from, or unsure about a specific medical condition, he or she should consult with a medical professional.
- That this is not a “massage,” and that Mr. Peng Her is not a licensed Massage Therapist or Health Practitioner of any conventional or alternative health practices. Notwithstanding this, participant acknowledges that there may be incidental contact.
- That Participant assumes all responsibility during each session, and releases Medical Qigong Therapy, by and through Mr. Peng Her, from any real or perceived injury as a result of each session.
III. MISCELLANEOUS
- This Agreement contains the entire understanding and agreement of the parties with respect to the subject matter contained in this Agreement. It supercedes all prior oral or written understandings and agreements relating to this subject matter. This Agreement may not be altered, modified, or waived, in whole or in part, except in a writing signed by authorized representatives of the parties.
- The validity, construction, performance and enforcement of this Agreement shall be governed by the laws of the State of Minnesota as if entered into and fully performed entirely within such state. Any action to enforce this Agreement will be brought in the State of Minnesota.
- This Agreement shall be binding upon, and for the benefit of, each participant.
- This Agreement shall be signed by a parent/guardian if the participant is under the age of the majority.
- Observers (i.e. family, friends, translators, etc.) are welcome to sit-in on sessions only with the permission of the participant.
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