Bach Flower Consultation and Coaching Disclosure and Release

A Bach Flower Consultation, by philosophy and practice, does not diagnose or treat disease. The diagnosis and treatment of disease is solely within the license of the medical profession. IF YOU KNOW OR SUSPECT THAT YOU HAVE A CONDITION WHICH MAY WARRANT THE CARE OF A LICENSED MEDICIAL PROFESSIONAL, YOU SHOULD SEE ONE AS SOON AS POSSIBLE. Carol Bennington is not a physician, homeopath, psychologist, psychiatrist, clinical social worker, therapist or mental health counselor, or other licensed health care professional, as defined by the laws of the state of Colorado.

I understand that my Bach Foundation Registered Practitioner, Carol Bennington, is not a licensed health care professional in the state of Colorado. I also understand that she is a skilled professional educator and consultant on the healing flower remedy system of Dr. Edward Bach and has acquired a place on the Registry of the Dr. Bach Foundation in Oxon, England (Bach Foundation Registered Practitioner, BFRP).

I, as a mature adult, have read this disclosure and understand the above as well as the limitations of this service. I accept responsibility for my choice to seek for myself (or my legal ward) the consultative services of Carol Bennington. I understand that my practitioner will not diagnose or treat disease in the process of a Bach Flower Consultation or any other modalities. As a client, I am here to learn the effective use of Natural Health and Life Science; all teaching methods administered by my practitioner are for the sole purpose of assisting people to learn how to build their own health and wellness. I understand that my practitioner will keep all of my records confidential. I understand that my identity will be kept confidential if my practitioner should need to consult another BFRP on my behalf or utilize my case in a way for teaching purposes.

I understand that information exchanged during any consultation or otherwise is educational in nature and is intended to help a client become familiar and conscious of their own wellness and is to be only used at the client’s discretion. I assume full responsibility for my choice of treatment.

Except in the case of gross negligence or malpractice, I or my representative(s) agree to full release and hold harmless Carol Bennington from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s).

I fully consent to use the services of Carol Bennington by completing the information below: