DISCLOSURE/INFORMED CONSENT FORM
Eve Farwell is a Certified Herbalist and Yoga Instructor. Eve completed over 450 hours of training at Green Path Herb School in Missoula Montana focused on the art and science of western herbalism, herbal therapeutics, pharmacy, materia medica, botany, anatomy and physiology, nutrition, field work, clinical case studies and associated health topics. Eve has also completed 200 hours of comprehensive study and training in the theory, practice and teaching of asana, pranayama, meditation and relaxation at Yoga Linda in Barcelona, Spain.
Currently, herbalism is not considered a recognized health care modality in Montana. As such, there is no state or national licensing for herbal practitioners. At this time, there is only national certification.
Eve uses a basic approach to combine alternative healing methods with the latest scientific findings and clinical practices. Because each client is unique, she will use various methods while working with you. Her basic healing philosophy is to offer you the support needed to restore your ability to experience balance and harmony in your health. The focus of her assessment of your health is to focus on identifying patterns of strength and weakness. Using this information, depending on your wishes, she will make recommendations that may include nutrition, herbs, supplements, movement, meditation, counseling and lifestyle. Her recommendation may also include suggestions for creating physical, emotional, mental and/or spiritual balance.
She is NOT a medical doctor nor does she practice standard Western medical assessment, diagnosis or treatment. She does not claim to cure disease, nor offer advice about the use of any type of pharmaceuticals or medications at any time. She has no objections to her clients being seen or evaluated by their own medical doctor. If you have any questions or concerns about your health, it is highly recommended that you discuss them with your physician. She encourages you to share and discuss her recommendations with any other health professionals. The recommended nutritional/herbal supplements suggested by Eve are not a replacement for the medications prescribed by your Medical Doctor.
WAIVER OF LIABILITY
By signing below, you agree that neither Eve Farwell or Seed of Mind Wellness have any liability to you under any theory of liability in connection with the use of information, treatments, services and/or products provided to you. WITHOUT LIMITING THE FOREGOING, IN NO EVENT WILL EVE FARWELL OR SEED OF MIND WELLNESS BE LIABLE FOR ANY INDIRECT, CONSEQUENTIAL, SPECIAL, EXEMPLARY, PUNITIVE OR INCIDENTAL DAMAGES arising from your use of the information, treatment or products suggested. To the maximum extent permitted by law, you further release and forever waive any and all claims or damages you may have against Eve Farwell or Seed of Mind Wellness including, but not limited to, any claims or damages based upon the negligence of Eve Farwell or Seed of Mind Wellness for losses or damages sustained in connection with the use of the information, treatments, services and/or products provided to you by Eve Farwell or Seed of Mind Wellness. This agreement shall be binding upon your heirs, personal representatives and executors. Notwithstanding the foregoing, in the event that any of the foregoing provisions are held by a court of competent jurisdiction to be invalid or unenforceable, you agree that the total liability of Eve Farwell or Seed of Mind Wellness if any, for losses or damages shall not exceed the amount paid by you for the particular information, treatment, services and/or products provided to you.
You hereby consent to and grant permission to Eve Farwell to perform such evaluations and treatments considered necessary or advisable to determine the therapeutic information, treatments, services and/or products to prepare a comprehensive holistic treatment plan designed for you. You retain the right to question the purpose of the care, reasonable alternative forms of treatment and risks of the recommended care. You acknowledge that no guarantees have been or can be made regarding the likelihood or success or outcomes of any information, treatment, services and/or products provided to you. You are requesting and consenting to treatment utilizing the principles and techniques of the above listed therapies to be performed by a professionally trained practitioner and acknowledge that you are at least 21 years of age.
I have read and fully understand and agree to the above terms of this Liability Waiver Agreement. I am digitally signing this agreement voluntarily and recognize that my digital signature serves as a complete and unconditional release of all liability.