Mindflow360 Waiver of Consent

Terms and Conditions for receiving Health and Wellness Services & Assessments provided by Cristina Rhoads, Sam Rhoads, DPT, and Mindflow360, LLC.

I agree to observe and obey all posted rules and warnings, and further agree to follow any instructions or directions given by Adriana Cristina Rhoads (“Cristina Rhoads”), Sam Rhoads, Mindflow360, and their agents.

I understand that the information provided at or in conjunction with Mindflow360 offers, training and coaching, including dietary recommendations and/or supplement advice is not intended to be a substitute for professional medical advice, diagnosis or treatment that can be provided by my physician, therapist, licensed dietitian or nutritionist, or any other licensed or registered health care professional.

I understand that the health coaches and trainers of Mindflow360 and their agents are not medical or mental health care providers and they are not providing health care, medical or nutrition therapy services or attempting to diagnose, treat or cure in any manner whatsoever, any disease, condition or other physical or mental ailment of the human body. Rather, they are serving only in their capacity as coaches, educators, mentors and guides, and where specifically deemed, as a licensed Physical Therapist or certified Yoga Teacher.


I agree to disclose to Cristina Rhoads, Sam Rhoads, Mindflow360, in advance any known or suspected physical limitations that may impact my breathing or movement, or any other health or mental condition that may affect or be affected during the services and assessments provided. If I suspect that I have a medical problem, I agree to inform Mindflow360 and its agents immediately.

I understand that no claim is made as to the certain efficacy of any nutritional or supplement protocols. Additionally, I understand that this program may also include recommendations in regards to bringing balance to the physical, emotional, mental, social, and spiritual components of my being. These recommendations may include but are not limited to, stress reduction techniques, food modifications, sleep hygiene, corrective stretching and strengthening exercises, range of motion exercises, resistance training, postural exercises, cardiovascular exercise, yoga, meditation, ergonomic, and shoe wear and orthotic recommendations. I understand that adopting any of these recommendations is voluntary and by choice.

I also understand that in some cases lab testing may be recommended as well. If I choose to engage in lab testing, I voluntary consent to such testing and I fully understand and agree that Mindflow360 is not acting as a medical practitioner or providing medical therapy services in any way. I understand and agree that lab testing results and recommendations are not attempting to diagnose, treat, or cure, in any manner whatsoever, any disease, condition or other physical or mental ailment of the human body. Rather, I understand and agree that the lab testing results are shared with me for purely educational and informative purposes.

I consent to participate voluntarily in a Mindflow360 Assessment and/or Service and I recognize this may contain certain inherent risks.

I expressly assume the risks of the Assessments & Services and I take full responsibility for my life and well-being and all decisions made before, during and after Cristina Rhoads’ and Sam Rhoads’, Mindflow360, Assessments & Services.

I agree to seek the advice of my physician or another qualified health care professional prior to and during the Assessments & Services regarding any questions or concerns I have about my specific health situation, possible or actual pregnancy, known or suspected food sensitivities or allergies, dietary restrictions, or any medications I am currently taking.


I agree to not disregard professional medical advice or delay seeking professional advice or stop taking any medications without speaking to my physician or health care professional.

I fully understand that all lifestyle recommendations, including but not limited to physical exercise and food are designed with my health, well-being and utmost safety in mind. I have been informed and understand physical exercise and food modifications have been associated with certain risks, including but not limited to, musculoskeletal injury, spinal injuries, abnormal blood pressure responses, respiratory distress, and in rare instances heart attack or death. Every effort will be made to minimize these risks.

Any information that is obtained from my medical history, fitness level, training and coaching assessments, services and sessions will be treated as privileged and confidential and will not be released or revealed to any person other than my healthcare providers without my expressed written consent.


In the event that I may injure myself or become ill as a result of my participation in this Assessment(s)/Service(s), I hereby release, discharge, and waive any and all liability, damages, causes of action, allegations, suits, sums of money, claims and demands which I have ever had, now have, and could have in the future against Cristina Rhoads, Sam Rhoads, and/or Mindflow360, arising from my participation in anything related to the Assessment(s)/Service(s) now or in the future.

I have carefully read this document and by checking that I have done so in booking my Assessment(s)/Service(s), I agree that I fully consent to all parts of it. I understand that by checking that "I agree" to this release, I voluntarily surrender certain legal rights.

 

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