Informed Consent and Liability Waiver
This waiver of liability includes any risk of attending consultations, engaging in Skype sessions, coaching, classes, workshops or other services provided by Freedom Cole and Science of Light LLC.
Freedom Cole provides counseling regarding Yoga Therapy, Āyurveda and Jyotish. He is registered as a Yoga Therapist by the International Association of Yoga Therapy. He is registered as an Ayurvedic Practitioner through the National Āyurvedic Medical Association. He is a certified Vedic Astrologer through the Council of Vedic Astrology in the U.S. and the Devaguru Brihaspati Center in India. Freedom has a Masters Degree in Psychology from Meridian University in California. He is constantly engaged in continuing education in all the above areas.
Āyurvedic Practitioners are not licensed physicians, and Āyurvedic services are not licensed by the state. Freedom Cole and associated staff at Science of Light LLC provide wellness coaching and do not seek to represent or replace modern licensed health care professionals and therapies. Services provided are designed to be an ancillary health aid and are not suitable for primary medical diagnosis and treatment and are not intended as a replacement for licensed medical therapies or clinical mental health care. It is your responsibility to maintain a relationship with your medical doctor.
By checking the Informed Consent check box, the person named in the intake and residing at the declared address understands that any Yoga therapies or Āyurvedic treatments and lifestyle adjustments or Jyotiṣa remedies received from Freedom Cole or other staff is designed to be an ancillary health aid and are not suitable for primary medical diagnosis or treatment and are not a replacement for licensed medical therapies or clinical mental health care. You acknowledge that you are seeking a consultation for educational purposes based on the principles of Yoga, Āyurveda and Jyotish.
You acknowledge and agree that you are fully responsible for your own well-being during your consultation or therapy sessions, and subsequently, your choices and decisions.
You understand that all comments and ideas offered by Freedom Cole or staff are solely for the purpose of aiding you in achieving your defined goals and you can disregard any comment or idea offered which is not in your best interest. You have the ability to give your informed consent, and hereby give such consent to assist in achieving such goals.
All communications between you and your Therapist-Practitioner-Jyotisha will be held in strict confidence unless you provide written permission to release information about your recommendations. If you participate in a couple’s consultation, Freedom Cole or staff will not disclose confidential information unless all person(s) who participated with you provide their written authorization to release. In addition, Freedom Cole or staff will not disclose information communicated privately to him or her by one family member to any other family member without written permission.
As a practice we share pertinent history and recommendations with other health practitioners working with you when you have provided written permission. This will always be done in a confidential way respecting your integrity and privacy.
We use third party payment systems and do not collect or store any financial information.
All sessions are audio recorded and stored in a HIPAA compliant cloud server. You acknowledge that the use of technology cannot always be completely secure and accept the risks to confidentiality in the use of email, text, phone, Skype, and other technology.
You declare and represent that no promise, inducement or agreement not expressed in this agreement has been made. You hereby release, waive, and acquit your therapist/coach, any agents, successors, assigns, personal representatives, executors, heirs and employees from every claim, suit action, demand or right to compensation for damages claimed or that you may have arising out of your own acts or omissions or acts and omissions of your Therapist/Coach as a result of any advice given otherwise resulting from the therapeutic/coaching relationship contemplated by this agreement.
Moreover, in consideration of the benefits to be derived from the counseling, the receipt whereof is hereby acknowledged, you hereby indemnify and hold harmless, release, remise and forever discharge and covenant not to sue or hold legally liable Freedom Cole or the staff at Science of Light LLC from any and all claims, demands, damages, actions, or causes of action whatsoever related to the counseling process.
You have read the above release and waiver of liability and fully understand its contents. You are aware that this is a waiver and release of potential liability and a contract between you and Freedom Cole and the staff of Science of Light LLC. You voluntarily agree to the terms and conditions stated above.