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 Consciousness is the stress related analytical holistic tool that works alongside medical diagnoses and does not allege to any cure or promise to cure.

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.