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Homeopathy is considered an complementary medicine and is not a substitute for orthodox medical treatment. The information and therapy offered does not include a diagnosis. Homeopathic remedies are available OTC (over the counter) and have been TGA approved. Alastair Gray can provide information and education about homeopathy and homeopathic remedies.

I, ________________________________________, do hereby accept full responsibility for any actions taken by myself or my child concerning any foods, homeopathic remedies, herbs, supplements, exercises and educational therapies with the clinical homeopath. I hereby release the aforementioned company from any liability resulting in any possible damages or loss during our association.

I understand that rather than medical advice or treatment, I am seeking integrate and complementary treatment in the form of lifestyle, educational, nutritional and homeopathic advice and/or recommendations. Under no circumstances, should any suggestions be taken as a diagnosis or direction against a licensed physical or mental health care professional.

I affirm that I am seeking self-help and advice in natural health or educational matters only, and if I desire a diagnosis or treatment for any medical condition, I must consult a physician. I acknowledge that the clinical homeopaths and employees are neither a medical institution nor a medical doctor.

Signature (adult/parent)_________________________________ For Child _____________________ Date__________

 

VIDEO RELEASE

It is often common in Homeopathic medicine to use video to be able to review aspects of the consultation for analysis at the end of the consultation or at a later time. Furthermore video provide a very effective method for teaching homeopathy. If your case is videoed it may be selected for teaching purposes, if relevant, in a formal teaching situation. In such cases strict confidentially is maintained and your name is never divulged.

Students learn homeopathic skills through the observation of experienced practitioners at work. To document this experience is of great value, and I appreciate your cooperation.

I, the undersigned agree to having my/my child's interview videotaped by. Alastair Gray

Signature (adult/parent)________________________________ Date__________

 

CASE MATERIAL RELEASE

Homeopathic case histories are commonly used to teach all aspects of homeopathic therapy. Information from your records would only be presented in a formal teaching situation, and your name is never disclosed. I appreciate your cooperation to make this valuable material available for teaching.

I, the undersigned agree to release my case material for teaching purposes.

Signature (adult/parent)________________________________ Date__________