Release form for frequency treatment

[Russell Shipp]

careful about consenting to admitting any kind of medical benefit. Otherwise it is a beautiful piece of leagliease.

But yeah, when people say Rife cures, they tend to end up doing time. Sometimes for right sometimes for wrong. .... IDK.. I'm about to reach for a larger market using sub par machines that are work horse ready. These mules may not be flashy but they are good mircals to be shared with as many as possible that will be willing to utilize them.

Thats my two cents.

I like your release much more.;

Save more that one part of part 4. ....... Lest anyone among us have to serve time for attempting to save a person.

[Richard Di Nucci]

Thanks Russell.

I'll try my best to incorporate your thoughts/ ideas in a revised version, which I hope to post back here on this link shortly.

R

EDIT: I've modified the draft Release Form" in the prior post; also shown in red are remaining questions for anyone who sees a potential issue or problem with the wording.

[Moria Merriweather]

I've signed so many releases like this, you'd think I would know what it should say!

Regarding the legal issues, I think there can be issues in any case, but I would note that it is much more complex if charge money for the use of the machine. Most of the issues I've heard of are when someone is selling something and makes claims for it. If you are. Not selling something (device or substance) and you want to give advice on treatment, you could still be liable in some cases, but it is more limited. In health books there are still disclaimers, but what you can say in a book is much broader than what you can say if you are treating someone for money.

[Russell Shipp]

Good reasons to never charge money for it! What is the price of life?

[Richard Di Nucci]

Thanks, Moria.

Although I implied that there was no compensation, we need to be explicit. I'll amend what I've written above, to clarify that the "caregiver" is receiving no compensation.

R
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[Richard Di Nucci]

Release Form for Rife Frequency Treatment – Revision 3

( note: recent additions/changes are shown in red)

I, _________________________ fully acknowledge the implications of the following six (6) paragraphs listed below; further, I fully understand, acknowledge, and accept the potential consequences either expressed or implied by these statements below.

1. I have received a “Rife" device, Model # ___________________ (hereinafter referred to as “device”) on temporary loan, for a maximum period of two weeks, from ________________________ on the date shown below. Further, while in my possession, I am responsible for the safe-keeping of this device.

2. I have been trained in the specific procedures that are to be used in connection with the safe operation of this device, and I have been trained in specific safety precautions that are to be followed, before, during and after the use of this device.

3. While in my possession, this device is to be used on an experimental basis by me only, and for the expressed purpose of treating my own ailment(s), which I characterize as follows: ________________________________, __________________________, and _________________________________. (To All: Does this second portion of Paragraph # 3 sound OK to leave in, or should we delete any reference in this Release Form to "treatment of ailments"?)

4. Use of this device is for experimental purposes only.

5. Though the maximum duration in my possession is specified in Paragraph # 1 as two (2) weeks, the device owner may request the return of this device after three (3) days, if necessary.

6. The device owner is receiving no compensation of any kind for allowing me to borrow this device.

Signed below by the Owner and the Temporary User of this Device:


_______________________________________
Temporary User of Device Date

_______________________________________
Owner of This Device Date


Question to Forum Members: Does anyone have additional suggestions/ changes? Or is there another “template” other than this draft above that will suffice?
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[Guichard Pierre]

The only solution to the people on the track and let RIFE
do some work alone. leave them assimilate technical RIFE first.
if they want to heal they work for themselves in a first time .

[Russell Shipp]

Close. Let me touch it up .

Release Form for Rife Frequency Treatment – Revision 2

( note: recent additions/changes are shown in red)

I, _________________________ fully acknowledge the implications of the following six (6) paragraphs listed below; further, I fully understand, acknowledge, and accept the potential consequences either expressed or implied by these statements below.

1. I have received a “Rife-type” of device, Model # ___________________ (hereinafter referred to as “device”) on temporary loan, for a maximum period of _______ weeks, from ________________________ on the date ___________through _________. Further, while in my possession, I am responsible for the safe-keeping of this device.

2. I have been trained in the specific procedures that are to be used in connection with the safe operation of this device, and I have been trained in specific safety precautions that are to be followed, before, during and after the use of this device.

3. While in my possession, this device is to be used on an experimental basis by me only, and for the expressed experimental purpose of alleviating symptoms from and or causes of my own ailment(s), which I characterize as follows: ________________________________, __________________________, and _________________________________. (To All: Does this second portion of Paragraph # 3 sound OK to leave in, or should we delete any reference in this Release Form to "treatment of ailments"?)

4. Use of this device is for experimental purposes only; however, I realize that in the process of using this device, I may experience some possible physiological changes.

5. Though the maximum duration in my possession is specified in Paragraph # 1 as two (2) weeks, the device owner may request the return of this device after three (3) days.

6. The device owner is receiving no compensation of any kind for allowing me to borrow this device.

Signed below by the Owner and the Temporary User of this Device:


_______________________________________
Temporary User of Device Date

_______________________________________
Owner of This Device Date


Question to Forum Members: Does anyone have additional suggestions/ changes? Or is there another “template” other than this draft above that will suffice?
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5 and 6 could be whited out and or tweaked on this basis something could be loaned out and done up real nice..... Does anyone know if the carpenters grace has a release form they could share as a sample or template maybe? Compensation is an issue I leave up to anyone.. but yeah it is fine as it stands too in the quote.. I think that is a version I might start using Sans number 5 since two weeks is not the nomral amount of time it Takes for me tp heal up a sick person.... My clients tend to take 6 to 8 weeks to recover. Then again I tend to aim for the tougher ones...That is great up there... Who can improvwe upon it still further