In consideration of your participation in any health coaching, testing, recommendations, coaching, and exercise, you understand that you must purchase services and must read, agree to assume the risks for participation, waive of liability, and policies and procedures.
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​This program is voluntary, and Casie Shepherd of Spectrum Wellness is only here to make her recommendations. You represent that you will complete the Intake Form and any other health history form accurately and completely including disclosure of any prescribed medications you are taking, any symptoms you may have, and exercise limitations, injuries, or dietary limitations you are aware of or have been informed of by your doctor.
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During the program if your medications, condition, or medical limitations should change, you agree to notify Casie. You understand that it is recommended that you have a yearly physical or more frequent physical examination and consultation with your physician as to physical activity and diet so you are aware of what is appropriate for you. You acknowledge that you have either had a physical exam and have been given your physician’s permission to participate or you have decided to participate without approval of your physician.
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You understand that Casie Shepherd of Spectrum Wellness will review your Intake Form and any other health history form but that Casie Shepherd of Spectrum Wellness is not a physician or doctor and cannot replace the advice and expertise of a physician. By following any advice by Casie Shepherd of Spectrum Wellness, you agree that you do so at your own risk.
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You understand that you have the complete right to stop or decrease any recommendations in protocols, nutrition protocols, and exercise recommendations at any time and that it is your obligation to inform the her of any symptoms such as fatigue, shortness of breath or chest discomfort.
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You realize that participation in the program may include but is not limited to supplement protocols, lab readings, nutrition protocols/plans, exercising, use of exercise equipment/strenuous exertion all of which increases heart rate and body temperature.
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You understand that any of this programming, including but not limited to, serious neck and spinal injuries resulting in complete or partial paralysis, heart attack, stroke or even death. Also, injuries could occur to bones, joints or muscles. Slips, falls, and unintended loss of balance could result in muscular, neurological, orthopedic or other bodily injury. You understand that part of the risk involved in undertaking any activity or program is relative to your own state of fitness or health (physical, mental, or emotional) and to the awareness, care and skill which you conduct yourself in that activity or program. You also understand that any foods, vitamins, supplements, or medications that may be recommended will be taken at your own risk and that it is highly advised to obtain your physician’s permission prior to taking any of the above-mentioned items.
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Knowing the material risks and participating, knowing and reasonably anticipating that other injuries are a possibility, you hereby expressly assume all of the delineated risks of injury, all other possible risk of injury, and even risk of possible death, which could occur by reason of your participation.
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By signing this form, I agree to the statements above and do hereby waive, release and forever discharge to Casie Shepherd Spectrum Wellness from any and all responsibilities or liability for any present and future injuries or damages resulting or arising from your participation in any activities including but not limited to exercise, nutrition, protocols, supplements, and use of the equipment including any injuries and damages caused by the negligent act or omission of any of those persons or entities mentioned above.
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