Client Acknowledgment and Consent

I, ___________________________ (Client Name), understand and acknowledge that the Visera Link Scan is a wellness assessment tool that identifies biofeedback responses to various virtual items. This scan is not a diagnostic tool, nor does it replace professional medical advice, diagnosis, or treatment provided by a licensed healthcare provider.

I understand that:

1. Purpose of the Scan:

   • The Visera Link Scan is designed to provide information about potential areas of stress or imbalance in my body to support general wellness.

   • Results and recommendations from the scan are not intended to treat, cure, or prevent any disease.

2. Limitations of the Scan:

   • The scan does not constitute a medical diagnosis.

   • Any results or suggestions should be discussed with my healthcare provider before implementing significant changes to my health or wellness regimen.

3. Responsibility for Decisions:

   • I am solely responsible for decisions regarding my health and wellness.

   • The practitioner conducting this scan cannot guarantee specific outcomes based on the scan’s results.

4. Privacy and Confidentiality:

   • All information collected during the scan will be kept confidential and used only for the purposes of this consultation.

   • No personal data will be shared without my explicit consent unless required by law.

Consent to Proceed: By signing below, I confirm that I understand the nature and purpose of the Visera Link Scan. I acknowledge that the scan is a complementary wellness tool and not a substitute for medical advice. I voluntarily consent to proceed with the scan and release the practitioner from any liability arising from its use.

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