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I understand and
acknowledge that Dr. Alva Irish is NOT a Medical Doctor, Psychiatrist,
Veterinarian, or any other kind of Doctor of Medicine, nor does she
hold
herself out as one. I also understand and acknowledge
that Dr. Alva Irish is a Doctor of Homeopathy and a Doctor of
Naturopathy.
I hereby authorize Dr. Alva Irish, and her representatives to act on my
behalf concerning Homeopathic and Nutritional Health Analysis Procedure
for Energy Evaluation.
I
specifically authorize her to perform a Homeopathic and Nutritional
Health Analysis Procedure for Energy Evaluation and develop for me a
suggested Nutritional and Homeopathic Health Program.
I warrant that all information submitted for analysis and evaluation
was submitted by me and is true to the best of my knowledge.
I recognize that the Homeopathic and Nutritional Health Analysis
Procedure is an established method that is not yet approved by the
medical profession, or the Food
and Drug Administration, although it has not been rejected.
I acknowledge that the Homeopathic and Nutritional Health Analysis
Procedure, the Evaluation, the Research on the Zizia program, the Hair
Analysis and the
suggested
Nutritional Health Program are not for diagnosis, treatment, care,
alleviation, mitigation, prevention, or care of any disease of any
kind, in any way. However,
I reserve the right to use the
knowledge I gain in the care of my own body in any legal manner I may
choose, including the suggested Homeopathic and Nutritional
Health Program.
I understand that although I have been requested to give all of my
symptoms, they are for research purposes to find in the Zizia program
the historic use of those Homeopathic remedies that match those same
symptoms, and are not meant to be used to diagnose or treat any disease
or condition of any kind.
I hereby attest and affirm that I am here as a client/student, on this and any subsequent visit, solely on my own behalf.

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