Client Request and Authorization
I recognize that Kimberly Fogel, ND & Rachelle Cain, HHC are not an allopathic or medical doctor, nor do they represent their selves as such. The do not treat, diagnose or prescribe any drugs. They do not do surgery, take X-rays or handle pregnancy
I do hereby give Dr. Kimberly Fogel, Rachelle Cain, Abbie Bradford, and Shannon Redden permission to counsel me concerning my health and well-being, and to recommend a proper diet, to educate me on my biological blood terrain and to apply any of the above methods of healing if they should deem necessary. I further understand that many of these natural remedies are still being researched and absolute results can not be guaranteed. If I choose to follow the advice of Dr. Kimberly Fogel, Rachelle Cain, Abbie Bradford, and Shannon Redden, I do so at my own free will and I am under no obligation to take or purchase anything. In doing so, I understand that natural health care is not intended as diagaosis, treatment, prescription on cure for any disease, mental or physical, and is not intended as a substitution for regular medical care.
I also understand that the spiritual counseling provided by Kimberly Fogel, Abbie Bradford, Shannon Redden and Rachelle Cain is not part of any recognized religion nor is it intended as the practice of clinical psychology.
I, the undersigned, request that Dr. Kimberly Fogel, Shannon Redden, Rachelle Cain, and Abbie Bradford, may perform an evaduation and/or set up a program for the purpose of reducing stress, enhancing my health Or my education concerning my health or spirituality. I understand that Dr. Kimberly Fogel, Shannon Redden, Rachelle Cain, and Abbie Bradford are not an allopathic medical doctors. I understand that the therapies listed above are not intended as diagnosis, prescription or treatment for any disease, physical or mental. It is also not intended as a substitute for regular allopathic medical care.
ARTICLE IX, US. CONSTITUTION
"The enumeration in the Constitution, of certain rights, shall not be construed to deny or disparage others retained by the people."
Under the Ninth Amendment of the Constitution ofthe United States of America, I retain the right to freedom of choice in health care, spirituality and education. This includes the right to choose my diet; and to obtain, purchase and use any therapy, regimen, modality, remedy or product recommended by any doctor, practitioner, nutritionist, microscopist' or minister of my choice_
Theenumeration in this declaration ofthese rights shall not be construed to deny or disparage other rights retained by me, or my right to amend this declaration at any time.
Notice is hereby given to any individual or persons whom receives a copy of this Declaration and -who, acting under the color of law, intentionally interferes with the free exercise of the rights retained by me under the Ninth Amendment, as enumerated in this declaration, that they may be in violation of my Civil and constitutional rights, Title 42, U.S.C. 1983 et seq. and Title 18, Section 241