I acknowledge that participation in wellness and nutrition counseling, including any physical activities, dietary changes, and mental health strategies offered by Nourish Inward, carries inherent risks. These may include but are not limited to, physical injury, allergic reactions, or mental distress. I assert that I am voluntarily participating in these activities and assume all risk of injury, illness, damage, or loss to myself.
I confirm that I am physically, mentally, and emotionally fit to engage in the activities provided by Nourish Inward. I have not withheld any health-related information that could potentially affect my safe participation. If at any time I feel my well-being is at risk, I will immediately inform the staff of Nourish Inward and discontinue participation.
I affirm that I have sought medical advice regarding my participation in Nourish Inward’s wellness programs, particularly if I have pre-existing health conditions, dietary restrictions, or any concerns that may impact my participation. I understand that Nourish Inward is not a medical organization and that its staff are not providing medical advice or treatment.
To the fullest extent permitted by law, I hereby release, waive, and discharge Nourish Inward, its officers, directors, employees, agents, and representatives from any and all liability, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to the wellness services while participating in any activity or under the guidance of Nourish Inward, whether caused by the negligence of the releasees or otherwise.
I consent to receive medical treatment deemed necessary in case of injury, accident, or illness during my participation in Nourish Inward activities. I understand that this Waiver does not obligate Nourish Inward to provide such emergency treatment.
I acknowledge that Nourish Inward may collect personal health information, including information generated through the use of AI technologies, such as dietary plans and wellness guidance. I consent to the collection and use of this information for the purpose of providing wellness services and understand that all reasonable steps will be taken to protect my privacy and confidentiality in accordance with relevant laws and regulations, including HIPAA, where applicable.
I understand that Nourish Inward may use AI technology, including tools like ChatGPT, to analyze health data and provide wellness guidance. I acknowledge that while AI technology is used to improve service efficiency and experience, Nourish Inward is committed to ensuring compliance with HIPAA rules in the handling and disclosure of my Protected Health Information (PHI).
I acknowledge that AI-generated health and wellness advice is not a substitute for professional medical advice, diagnosis, or treatment. Any reliance on AI-generated content is strictly at my own risk.
I consent to the audio recording of sessions for note-taking purposes, documentation, and reference. I understand these recordings may be analyzed by AI technology for summarization, identifying main points, and providing recommendations. I agree that these recordings and AI-generated summaries will be used to enhance the quality of service and for maintaining accurate records of what was discussed during the sessions.
I acknowledge the contagious nature of COVID-19 and other communicable diseases and voluntarily assume the risk that I may be exposed to or infected by such diseases by attending Nourish Inward’s facilities or engaging in its services. I hereby release Nourish Inward from any liability related to such exposure or infection.
I have read this waiver of liability, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing this waiver freely and voluntarily and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.