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Indemnity Form

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agree to the terms of this indemnity.
I understand my rights as a patient (Terms & Indemnity Link Below) and understand my right to:
ask any and all questions about my diagnosis(es), condition(s) and treatment/treatment plans (including benefits, risks, likelihood of success, alternatives, and consequences if treatment is not followed).
participate in decisions regarding my health or the health of whomever I am legally responsible.
Should I have any questions or concerns, or should I experience any side effects from treatment given, I will immediately notify and inform the naturopath. My failure to raise concern will create the assumption that I am satisfied with the service provided and not experiencing any side effects/discomforts to the treatment provided.