Online Program Consent Form
Congratulations on improving your health with one of our self-lead health programs!
In order to proceed to the program:
*** please review and sign the terms and conditions through the buttons below ***
Have questions about the forms or checkout process?
Online Program Terms & Conditions
The information below is a summary of Terms & Conditions for all of Vibrant Health & Wellness Online Health Programs.
It is a requirement to also sign more in-depth forms
(which you will be directed to upon checkout prior to starting the online program).
In the meantime, the information below serves to give full disclosure of the Terms and Conditions.
Our website, services and wellness programs does not provide medical advice. The information, including but not limited to, text, graphics, images, videos, and other material contained in the website and services of wellness programs are for informational purposes only. None of the above material is intended to be a substitute for professional medical advice, diagnosis, or treatment. Vibrant Health & Wellness services, programs, practitioners, coaches and associates are not diagnosing, treating, curing, mitigating or preventing any type of disease, symptom or medical condition. Always seek advice of a physician or qualified health care provider with your specific questions you may have re: a medical condition or treatment before undertaking a new health care regimen; and never disregard professional medical advice or delay in seeking it because of information in this website, services, wellness programs or other material obtained through Vibrant Health & Wellness.
Consent of Treatment:
I consent to health and wellness, functional medicine/wellness, and related services (not limited to, but can also include: fitness interventions, healthy habit suggestions, dietary supplement suggestions and/or essential oil suggestions or application techniques) as falling within the appropriate guidelines with Vibrant Health & Wellness, Heather A Lowe DPT, ATC, CSCS, FMP and associates. In doing so, I understand, acknowledge, and affirm that such services are considered necessary and within guidelines established by myself and treating health professional provider(s). Please note that services are provided under the known acknowledgment that a primary medial practitioner is in place and that the rendered services are not meant to be a substitute or replace supervising medial advice and/or dietitian or nutritionist's advice. Rather, this is complementary health and wellness care and that the undersigned acknowledges to participate in these services willingly and without a 3rd party primary directive. Furthermore, it is not the intent of these, or related adjunct services, to diagnose, treat, cure or prevent disease or symptoms; in addition, urgent and/or emergency health concerns need to be directed to the appropriate medical/health practitioner/facility. Rather, Vibrant Health & Wellness are for the facilitation of optimizing wellness.
Assumption of Risk:
I understand that engaging in health and wellness services, exercise and/or functional medicine/wellness recommendations, dietary supplement suggestions, health progression, essential oil application techniques and/or advice and/or other potential interventions includes an inherent risk of minor or major life-threatening injury to persons and property, and death, including, but not limited to injury arising from or relating to your participation in any supervised or unsupervised above services conducted in or outside of Vibrant Health & Wellness, PLLC. I hereby expressly agree to assume full responsibility for all bodily injury, death, property damage, and theft or loss of personal property, that might result from my use of Vibrant Health and Wellness, PLLC services, equipment, programs and personal instruction, no matter what causes such injury, damage, or loss, including the active or passive negligence of Vibrant Health & Wellness, PLLC owner, practitioner(s) and /or associated staff.
Waiver and Release of Liability:
By my execution of this Agreement I hereby waive any claims or rights that I may have hereafter against Vibrant Health & Wellness, PLLC and their respective owner, practitioners and staff (known here forth as releasees) and agree to release and hold these stated releasees absolutely harmless from any and all claims, demands, inquires (including death), damages, losses, liabilities, actions, suits or causes of action to persons or property, present and future arising instruction conducted inside or outside the facilities, whether caused by the negligence of the releasees, except as to such claims which may arise from the gross negligence or willful misconduct of the releasees. I acknowledge that I have carefully read this Waiver and Release of Liability and fully understand it is a release of liability with consent to the Terms and Conditions.