Coaching & Site Disclaimer
Standard Coaching Consent & Disclosure Agreement (“Agreement”)
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Crystal Wood,IHP2 or aka The Juiced Life
Coaching Consent & Disclosure Agreement
By purchasing anything on this site, I understand and acknowledge all of the following:
Required disclosures. Crystal Wood (“aka The Juiced Life”) is not a licensed physician or psychologist and does not offer medical or psychological services. Therefore, I understand that I am not engaging Crystal Wood for any medical or psychological services and that Crystal Wood does not diagnose, treat, or claim to cure any medical or psychological condition. Crystal Wood services are not designed to replace conventional treatment methods of medical or psychological conditions. I am responsible for my own health care decision-making by obtaining any necessary consultations with appropriately licensed health care professionals such as physicians and psychologists. For more information, please see our Disclaimer. For questions, please contact info@thejuicedlife.com.
The services offered by Crystal Wood include integrative nutrition health coaching and are alternative or complementary to healing arts services licensed by your State. Crystal Wood is using health coach training to inform the services provided.
Crystal Wood engages the services of a third party laboratory to perform all laboratory test processing. The laboratory is a professional organization engaged in the business of conducting and processing these laboratory specimens and results. Crystal Wood and Health Coaches report the lab results based on reports received from the laboratory. Neither Crystal Wood nor Health Coach shall have any liability for errors or omissions of the laboratory or for guidance and recommendations based upon erroneous laboratory results.
Nature of Services: The nature of the services Crystal Wood will offer are as follows: general dietary and lifestyle/health coaching as well as nutritional supplement and at-home laboratory test recommendations. Health coaching involves guiding clients to make thoughtful, manageable lifestyle adjustments to improve overall well-being and vitality.
Theory: The theory upon which the services are based is as follows: health coaching involves attuning the client to their own goals, metrics, and habits, so clients can become more educated about themselves, release limiting beliefs, clarify their values and lifestyle choices, and achieve overall self-improvement.
Risks: The nutritional supplements, vitamins, minerals, food grade herbs, and other nutrients that may be recommended are generally considered safe, however, some nutritional supplements, vitamins, minerals, food grade herbs, and other nutrients may be toxic in large doses. Nutritional supplements, vitamins, minerals, food grade herbs, and other nutrients may interact with some legend drugs. Accordingly, it is important to consult with your prescribing physician about any legend drugs you are taking and the impact of supplements, vitamins, minerals, food grade herbs, and other nutrients on such drugs. Please inform your Health Coach or Crystal Wood if you experience severe gastrointestinal upset (nausea, gas, stomach ache, vomiting), allergic reactions (hives, rashes, itching, tingling of the tongue, headache), or any unanticipated or unpleasant effects associated with the nutritional supplements, vitamins, minerals, food grade herbs, and other nutrients.
Alternatives: Alternatives to Crystal Wood’s recommendations include doing nothing and/or seeking medical or psychological care.
Education, Training, Experience: Practitioner’s education, training, experience, and other qualifications include Integrative Healthcare Practitioner Level 2 training (IHP2). Some Practitioners may have more advanced training in health sciences, but none have a license to practice medicine or psychology.
NOTICE
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States do not prohibit individuals from offering coaching or mentorship services. However, states typically do NOT confer authority to practice medicine or therapy or to undertake the diagnosis, prevention, treatment, or cure of any disease, pain, deformity, injury, or physical or mental condition, and usually do not authorize any person other than one who is a licensed health practitioner to state that any product might cure any disease, disorder, or condition.
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No Guarantee: I recognize that Crystal Wood cannot guarantee results or any specific outcomes from our work together. I am solely responsible for any action taken based on my interpretation of any information presented. Accordingly, I understand that payment(s) for services are not conditional on my response to information conveyed during any Health Coaching session.
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Pregnancy: I understand that some nutritional supplements, vitamins, minerals, food grade herbs, and other nutrients may be inappropriate during pregnancy, and I will stop all Practitioner-recommended supplements if I am or become pregnant. I will consult with my physician before resuming any supplement use.
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Assumption of Risk. I knowingly, voluntarily, and intelligently decide to receive the services described above, and I knowingly, voluntarily, and intelligently assume all risks involved in the same. As a result of my assumption of these risks, I agree to release, hold harmless, indemnify, and defend Crystal Wood and its agents from and against any and all claims which I (or my representatives) may have for any loss, damage, or injury arising out of or in connection with use of the services described above, or arising out of or in connection with referral to other practitioners or merchants for delivery of any services.
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Arbitration. Any dispute, claim, or controversy arising out of or relating to this Agreement or the breach, termination, enforcement, interpretation or validity thereof, including the determination of the scope or applicability of this agreement to arbitrate, shall be determined by arbitration in Ada County, Idaho, before one (1) arbitrator. The arbitration shall be administered by AHLA Alternative Dispute Resolution Service Rules of Procedure for Arbitration, in Ida County, Idaho. Judgment on the award may be entered in any court having jurisdiction. This provision shall not preclude either party from seeking provisional remedies in aid of arbitration from a court of appropriate jurisdiction. The arbitrator may, in the award, allocate all or part of the costs of the arbitration, including the fees of the arbitrator. Each party has read and understood this Section (Arbitration) and understands that it thereby agrees to submit any claims arising out of this Agreement to binding arbitration, and that this dispute resolution provision constitutes a waiver of the party’s right to a jury trial. HOWEVER, prior to either party initiating Arbitration of any dispute, the parties agree to attempt mediation of the dispute with a mutually agreeable trained mediator in Ada County, Idaho. “Trained mediator” means a professional with actual training and experience in the field of Mediation and/or dispute resolution. EACH PARTY HAS READ AND UNDERSTANDS THIS SECTION AND UNDERSTANDS THAT BY SIGNING THIS AGREEMENT, THE PARTY AGREES TO SUBMIT ANY CLAIMS ARISING OUT OF, RELATING TO, OR IN CONNECTION WITH THIS AGREEMENT, OR THE INTERPRETATION, VALIDITY, CONSTRUCTION, PERFORMANCE, BREACH, OR TERMINATION THEREOF TO MEDIATION AND ARBITRATION, AND THAT THE DISPUTE RESOLUTION PROVISIONS SET FORTH IN THIS SECTION CONSTITUTE A WAIVER OF THE PARTY’S RIGHT TO A JURY TRIAL. IF EITHER PARTY PROCEEDS TO LITIGATION FOR ANY REASON, THEN ALL PARTIES WAIVE ALL RIGHTS TO A JURY TRIAL IN ANY SUCH PROCEEDING.
I have carefully read this form and acknowledge that I understand it. I give my informed consent to the above, including all assumptions of risk and disclaimers of liability set forth herein. No representations or statements, oral or written, have been made to me, apart from those described in this form. This form will be interpreted under Idaho law, and Boise, Idaho will be the forum for any claims filed under or incident to this form. If any portion of this form is held invalid, the rest of the document will continue in full force and effect.