Real Old Remedies
I also understand that it is my responsibility to discuss any and all information provided during this consultation with my primary health care provider or any other health care providers/specialists whose care I may be under.
I, the undersigned, assume all responsibility for decisions I make regarding my health, recognizing that:
I hereby release Real Old Remedies Inc. from all responsibility for my actions and any consequences thereof in the present time and in the future with no constraints. I hereby affirm that I consent and agree to the above statements of my own free will and request to engage the services of Real Old Remedies Inc. in a professional relationship pursuant to the statements herein.
Due to privacy regulations, your information will be held confidential and not shared with anyone.