Disclaimer

Client Consent Form & Disclaimer

Mst. Rajinder Singh Lamba – Holistic Wellness Center
Effective Date: [Insert Date]
Location: Deoband, Saharanpur, Uttar Pradesh, India

Client Consent Form

By signing or agreeing to this form, you acknowledge that:

  1. Voluntary Participation
    You are voluntarily engaging in holistic wellness services, including yoga sessions, parenting guidance, nutrition consultations, and emotional well-being counseling, with full knowledge of the nature and intent of the services provided.
  2. Personal Responsibility
    You accept full responsibility for your physical, mental, and emotional well-being throughout your participation. You understand that lifestyle, environment, and your personal efforts contribute significantly to outcomes.
  3. Medical Conditions
    You confirm that you have disclosed all relevant medical conditions, injuries, or psychological concerns that may affect your participation. You agree to inform the practitioner of any changes in your health status.
  4. Not a Substitute for Medical Treatment
    You understand that holistic wellness, yoga, and nutrition counseling are not a replacement for medical advice, diagnosis, or treatment from a licensed healthcare professional.
  5. Consult Your Doctor
    You have been advised to consult with your physician or health care provider before starting any wellness, yoga, or nutritional program, especially if you have pre-existing conditions or are under medication.
  6. Confidentiality
    All sessions are confidential. Your personal and health information will be kept private and only shared with written consent, or as required by law.

Disclaimer

  1. Results Vary
    We do not guarantee specific outcomes. Each individual’s progress is based on personal circumstances, effort, and consistency.
  2. No Liability
    Mst. Rajinder Singh Lamba and his team shall not be held responsible for any injuries, health issues, or consequences arising from the application of suggestions or participation in any session, course, or event.
  3. Participation at Your Own Risk
    All practices, exercises, and recommendations are undertaken at your own discretion and risk.
  4. External Resources
    Any products, dietary supplements, or external services suggested are for educational purposes. It is your responsibility to verify and consult a healthcare provider before use.

Consent Declaration

By signing or submitting this form:

  • I confirm I have read, understood, and agreed to the terms above.
  • I give my informed consent to receive wellness, counseling, and/or yoga services from Mst. Rajinder Singh Lamba and his team.
  • I understand that I can withdraw from services at any time with prior notice.

Client Full Name: ___________________________________
Signature: ___________________________________________
Date: _______________________________________________

Guardian Name & Signature (if client is under 18):

Contact for Questions or Concerns:
Email: info@yourwellnesscenter.com
Phone: +91 XXXXX XXXXX
Address: Village Amritpur Kalan, Saharanpur Road, Deoband, District Saharanpur, Uttar Pradesh, India – 247554