1. I fully understand that Wholistic/Holistic Practitioner or Wellness Coach/Consultant Terry King-Bey and the T.K.E. Holistic Health & Solutions Wellness Institute/T.K.E. Herbal Nutrition and Healthy Visions Ministry and Healing Art's Group and Network are not medical doctors and are not psychologists, we are Naturopathy Doctors, Certified Natural Health Professionals, Certified Herbalists, Certified Personal Trainers and many other Certifications of staff various services in the (Naturopathic) health field.  I also understand that diagnosis or treatment for any disease or health condition is beyond the scope of any Wholistic/Holistic Health Practitioner.  If I have any disease, health problem or health condition, I am now being advised to seek qualified medical advice from a licensed (Allopathic) physician.

2. I am here as a client on this or any subsequent visit solely on my own behalf and not as an agent for federal, state or local agencies on a mission of entrapment or for any investigative purposes. Initials: _______________

3. I understand that the above name practitioner teaches clients how to build their own health through training in the effective use of life-style modification, pollution avoidance, clean air, pure water, proper foods, rest, exercise meditation, goal orientation, positive mental attitudes, stress reduction techniques, and adjustments both physical and spiritual of social and economic factors affecting over all health.

4. I realize that service provided may, or may not, include examination of the eyes, saliva, hair samples, urine, usual dietary practices, etc., for energy or stamina evaluations.  Any evaluation test is not medical in nature, and such tests are not procedures used for diagnosis or treatment of any health condition or disease.  I know that such evaluation testing is not approved by any branch of the medical profession and is not approved by the (FDA) Food and Drug Administration.

5. The use of exercises, finger pressure, thumb pressure, massage, or movement demonstrated on the body of the client is examples, which can be performed by the client in the privacy of his/own home. Demonstration for muscle tone or circulation of vital life force energy (as defined by acupuncturists) for greater fitness levels are NOT to be construed as treatment for any disease or health condition.

6. Recommendations, suggestions, and reference to meals, menus, or nutritional supplements are for body building, increased stamina and energy, and general health maintenance and do not involve any diagnosing prognosticating, or prescribing for the treatment of any disease or health conditions.

7. There are no refunds on products purchased. X________________

8. I understand that the holistic practitioner named above is dedicated to educating clients to help themselves to better health with emphasis on education and self care.  The body-mind-spirit philosophy of wholistic is not universally accepted, nor recognized, and agencies must take responsibility for their own health.  Educating clients in wholistic health may be considered an inexact science with many variable results.  Results from life-style changes are neither constant nor predictable.

9. I have read and understand what is written above.  My signature below signifies that I agree to retain the above named Holistic Health Practitioner to educate me through lecture, testing, evaluation and demonstrations in methods available for me to help myself to improvement of my over-all general health.