Confidential Client Consultation Form

To Penny Croal acting on and behalf of ChangeAhead

I completely understand that you are not a medical doctor, and that this program does not replace the advice of a physician.

I understand that your advice is not meant to conflict with the recommendations of doctors or practitioners who are licensed.

I understand that I have the right to choose alternative methods of health treatment for myself, and that if I do so I accept full responsibility for my actions.

I understand that you or the processes that you guide me through, do not diagnose or treat medical problems, nor does PSYCH-K™, EFT, Matrix Reimprinting, NLP, TLT or any other tool that you show me replace the need for medical attention or substitute for professional mental health care.

META-MEDICINE is the stress related diagnostic tool that works alongside medical diagnoses.

I fully understand that you recommend that I visit a licensed physician or mental health counsellor/psychiatrist if I have a serious physical or mental health problem and that I should consult with this physician or nutritionist before I make any changes in my diet. I understand that you do not advocate the discontinuance of any prescribed medication.

I have read this informed consent and understand it. I am here today on my own behalf and not as an agent for any other company. I am not on a mission of entrapment or investigation.