• Yogic Medicine Institute

    Aruna Ross, NAMA certified Ayurvedic Practitioner, Ayurvedic Diet and Lifestyle Counselor, QRA practitioner, Yoga Therapist, Panchakarma Specialist (CPT). Satya Shiva, Licensed Acupuncturist and Traditional Chinese Medicine Practioner (L.Ac.), NAMA certified Ayurvedic Practioner (C.Ayu), Panchakarma Specialist (CPT), Meditation Instructor.
  • Registration Information and General Release from Liability Agreement

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  • Client Disclosure

  • The Yogic Medicine Institute and it’s staff offer many services including QRA, Ayurveda, and Pancha Karma.

    Through the QRA muscle testing system, the layers of toxic insults on the body are identified. Through muscle-testing, you will learn the specific nutrition your body needs to remove these toxins while restoring vital nutrition and nourishment to the organs, channels and systems.

    Originating in India, Ayurveda is the wholistic science of wellness which invigorates the vital life force by balancing the body/mind’s constitutional energies and elements. Ayurvedic balance may be achieved only when the herbs, foods, lifestyle and therapies are taken with consistency and for the duration suggested. Continuing to meet with your Practitioner on a regular basis is a major factor in a successful Ayurvedic approach to wellness.

  • Pancha Karma is a part of the Ayurvedic science of cleansing the body from ancient India. The treatments are done with techniques, herbs, and oils appropriate to your constitution.

    If you have any questions or concerns about our treatments or services, our staff is available to thoroughly discuss them with you.

    Our clinic is founded by and overseen by Derrick Pawo, a practitioner of QRA, Certified Ayurvedic Practitioner, and Pancha Karma Specialist. He and the staff of the Yogic Medicine Institute are not licensed physicians, nor are any services of the Yogic Medicine Institute and its staff licensed by the state. Derrick has been practicing Ayurveda and Pancha Karma for over 14 years. He is the co-Founder of QRA College where he teaches the kinesiology techniques of Dr. Bob Marshall, Quantum Reflex Analysis as well as training QRA practitioners to use the Premier Research Lab product line. The staff of the Yogic Medicine Institute have been studying and practicing with Derrick for nearly 10 years. Derrick's Ayurvedic studies include extensive trainings including study in India and in the U.S. with Dr. Sarasvati Burhman, Dr. Sarita Shrestha of Nepal, Drs. Smita and Pankaj Naram of Bombay.

    In order to use any of the services of the Yogic Medicine Institute, California state law requires that you acknowledge receipt of the information provided in this form and that you sign it. You will receive a copy. We will keep the original in our records for at least three years. The methods of treatments offered at/by the Yogic Medicine Institute are alternative or complementary to healing arts that are licensed by the State of California. Under Sections 2053.5 and 2053.6 of California’s Business and Professions Code, we can offer you these services, subject to requirements and restrictions that are described fully on the back of this page.

    If you ever have any concerns about the nature of your treatment, please feel free to discuss them with us. We recommend that you inform your medical doctor that you are receiving any of our treatments.

    Acknowledgement and Consent to Receive Services :

    I have read and understand the above disclosure about the QRA, Ayurvedic, and Pancha Karma treatments offered by Derrick Pawo and the Yogic Medicine Institute and their training and education. I have discussed with the staff of the Yogic Medicine Institute the nature of the services to be provided. I understand that Derrick Pawo and the staff of the Yogic Medicine Institute are not licensed physicians and that Yogic Medicine Institute services are not licensed by the state. I understand it is my responsibility to maintain a relationship for myself/my child with a medical doctor. I have consented to use the services offered by the Yogic Medicine Institute, and agree to be personally responsible for the fees of the Yogic Medicine Institute in connection with the services provided to me.

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  • Disclaimer and General Release from Liability

    Signing this agreement and beginning Pancha Karma or other Ayurvedic Consultations or Programs signals your agreement to the terms listed and detailed in this disclaimer.

    - Information presented by the Yogic Medicine Institute(hereby referred to as YMI) is based on Ayurvedic principles practiced for thousands of years. However, the information should not be considered standard medical diagnosis or treatment. For any medical condition, always consult with a qualified physician. Neither Derrick Pawo, the YMI representatives, the YMI Staff, their employees, nor their authors shall be held responsible in any way for problems encountered by the use of the products, substances, and procedures mentioned in any information presented. Nothing (information, products, consultations, therapies) presented by this organization or the products is intended to diagnose, mitigate, prescribe, treat, cure, or prevent any disease, illness, or symptoms defined by the FDA and the State of California. We declare that the information, products, therapy given or mentioned is neither intended to augment any particular medical therapy or medical drug action nor is any information given intended to diagnose, mitigate, treat, cure, or prevent a disease or class of diseases, illnesses, or symptoms, nor do we treat, prevent, or mitigate adverse events associated with a therapy for a disease, if the adverse events constitute diseases. YMI and its projects declare with respect to all of the products it sells or offers to the public, "The evidence in support of the claims of the products and therapies and advice given is inconclusive, and the Food and Drug Administration has not evaluated the statements presented. This product, service, or consultation is not intended to diagnose, treat, cure, or prevent any disease.”

    YMI and our representatives claim the right to constitutionally protected free speech. YMI claims our constitutionally protected religious right to the sacerdotal or spiritual administration of, use of, growth of, a harvest of, production of, procurement of, import of, export of, development of, refinement of, the study of, formulation of, a concoction of, a decoction of, powdering of, tincture of, tea-making of, capsulation of, ingestion of, smoking of, gift of, offering of, non-profit sale of, education on, or spiritual recommendation of (spiritual counseling) by our Ayurvedic Practitioners to any of our congregation and to others who freely seek our healing items, services and publications (or by our congregation members to each other or to others who seek our services) of any Tibetan, Nepali and Indian herbs, minerals, metals, mineral herbal bhasma compounds, foods, oils, ghees (clarified herbal butter), vitamins, minerals, and enzymes as spiritual sattvic (“more pure than kosher”) food supplements (see the Food and Drug Administration’s [FDA] DSHEA Act [Dietary Supplement

    Health and Education Act ]1) are an integral part of our ancient religious tenets, beliefs, doctrines, and practices (as described in the ancient Holy Scriptures cited in our constitution and as taught by the Practitioners, Siddhas, Buddhas, Bodhisattvas, Lineage Holders and Healers of our tradition, and are hence constitutionally protected religious tenets, beliefs, doctrines, and practices. YMI declares that any governmental (federal, FDA, state, or local) or private attempts to seize, confiscate, appropriate, impound, or commandeer in any way the above-declared herbs, minerals, metals, mineral herbal bhasma compounds, foods, oils, ghees (clarified herbal butter), vitamins or minerals (which may be the property of the Church, its congregation, Lineage Holders, Practitioners, or other members) or the Bureau for Private Postsecondary and Vocational Education attempt to regulate such above described religious educational practices violates our now declared First, Fourth, Sixth and Ninth Amendment Constitutional rights. We declare that any governmental (federal, FDA, state, or local) or private attempts to monitor, restrict, regulate, police, standardize, enforce licensing of, illegalize, oppress, suppress, limit, curb, check, or control the above-declared utilization or education of such sacred herbs, minerals, metals, mineral herbal bhasma compounds, foods, oils, ghees (clarified herbal butter), vitamins or minerals violates of our now formally declared First, Fourth, Sixth and Ninth Amendment Constitutional rights 2 We declare, all rights reserved without prejudice.

    - YMI and their projects declare that discussing the body-mind-spirit complex’s structure and functioning according to the January 2000 FDA DSHEA guidelines, when the substance of food or dietary supplement, serves to make the constitutionally protected First Amendment free speech “conversation” between the YMI, Ayurveda Department and the person who seeks our food supplement products educational and removes any intent to prescribe for a particular disease or illness.

    - YMI and their projects declare that we are aware of the FDA’s definition of disease, which is “damage to an organ, part, structure or system of the body such that it does not function properly (e.g., cardiovascular disease), or a state of health leading to the dysfunction, (e.g., hypertension); except that diseases resulting from essential nutrient deficiencies (e.g., scurvy, pellagra) are not included in this definition.” Hence, we declare that YMI and their projects and our products and services “do not diagnose, mitigate, treat, cure, or prevent disease,” or illnesses or symptoms as defined by the FDA and the State of California. We declare that the services and products we offer do not “augment a particular therapy or drug action that is intended to diagnose, mitigate, treat, cure, or prevent a disease or class of diseases,” illnesses or symptoms, nor do we “treat, prevent, or mitigate adverse events associated with a therapy for the disease, if the adverse events constitute disease.”

    - YMI and their projects declare our support of the Food and Drug Administration’s DSHEA Act (Dietary Supplement Health and Education Act), which supports our contention that herbs, herbal foods, herbal oils, herbal ghees (clarified herbal butter), vitamins, minerals, and enzymes are food supplements and neither medicines nor remedies.

    - YMI and their projects declare our First Amendment Right to free public and private speech (written or oral) regarding the traditional uses of herbs, herbal foods, herbal oils, herbal ghees (clarified herbal butter), vitamins, minerals, and enzymes as described in the ancient texts, sutras and scriptures of India, Tibet, China and Nepal.

    -The Yogic Medicine Institute declares concerning all of its products sold or offered to the public, "The evidence supporting this claim is inconclusive, and the Food and Drug Administration has not evaluated this statement. This product or service is not intended to diagnose, treat, cure, or prevent any disease.”

    - This declaration by YMI and their projects are based on our understanding of the precedent set by the successful “challenge before the U.S. Court of Appeals for the District of Columbia Circuit in Pearson v. Shalala, 164 F. 3d 650 (D.C. Cir 1999), ruled that the agency “(the FDA)” must permit health claims that do not satisfy the ‘significant scientific agreement’ standard as long as the claim can be rendered non-misleading by requiring a disclaimer. The Court examined possible disclaimers in some detail and suggested that the FDA concerns regarding misleading information could, under any circumstances, be addressed by a disclaimer as simple as “the evidence in support of this claim is inconclusive.” The Court also ruled that the FDA’s unwillingness to define ‘significant scientific agreement’ was a violation of the Administrative Procedures Act in that the agency did not provide a clear standard that notified manufacturers of the FDA’s requirements, nor did it create a sufficiently clear standard upon which the FDA’s determinations could be reviewed. Comments on the proposed rule argued in light of Pearson that the FDA may not issue a final rule prohibiting disease claims but must choose the less restrictive alternative of permitting such claims, provided they are accompanied with disclaimers.”

    - All massage services provided by YMI faculty, employees, and independent contractors are non-sexual. No sexual conversation or behavior will be tolerated by either the massage therapist or the client at any time. Any inappropriate
    words, jokes, or suggestions by the client will immediately terminate the massage session. Massage sessions terminated for inappropriate behavior will be charged the full session fee, and this practice will be closed to you with no referral.

     

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    We cite Rubin vs. Coors, 1995 – see P.2 of http://www.healthy.net/herbalists/practice.htm).

    We cite State of Colorado v. Kroger – see P.2 of http://www.healthy.net/herbalists/practice.htm).

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