Release form for frequency treatment

[Daniel Bergman]

Part of the problem is I am not a health care provider in any respect, so I have additional considerations that an MD would not.

I have been advised by a member of the forum that the only safe way to do this is to have people treat themselves. They would be using my equipment, and running it themselves. I can tell them what to do, but I should not touch or run the equipment.

Then, if the situation ever comes up where I am under some kind of scrutiny from authorities, I can honestly say "I never have treated anyone outside of my family". We are allowed to treat family members under current law. I only allowed unrelated people to use my equipment, but did not treat anyone.

I do think this would be the safest course to take, although somewhat awkward in practice.

Dan

[Alan Faulkner]

Does anyone have a release form that might be useful?

I've seen some online.

[Russell Shipp]

Everything I do , I do for gratuity.

I'll treat anyone willing to be treated.. although I never use the word treatment. Not till me and the client have been through a few sessions and gotten to know one another.


I don't use a release but if I did I should think that a good release form would look contractual.



I_______________________, Here by understand that I am being allowed to use ________________s' device under their supervision and that now medical claims are promised or implied. Use of their device is to be considered for entertainment purposes only.




Seems simple enough.... and should someone get cured and then get pissed off about being cured and call the authorities on you for Illegal healing... You can use my plan..... Should that happen to me I am gonna praise god and pass all the blame on him for providing the miracle.

[Richard Di Nucci]

Russell:

I am a newcomer to the Rife Forum, and I'm not a lawyer by trade. I commend you for starting this "release process", and hope that we can refine the wording soon, so that others on this Forum can use it whenever they feel the need to do so.

Since I know a fair amount about contract law, I've reviewed your draft "Release Form", as shown above (written in August 2012!), and I suggest a number of additions as well as clarifications.

Accordingly, here's my suggested re-write:
I, _________________________ fully acknowledge the implications of the following four (4) statements listed below; further, I fully understand, acknowledge, and accept the potential consequences of my actions either expressed or implied by the four statements below.

1. I have received a “Rife-type” of device, Model # _________________ (hereinafter referred to as “device”). I received this device from ________________________ on the date shown below.

2. I have been trained in the specific procedures that are to be used in connection with the safe operation of this entertainment device, and in specific safety precautions that are to be followed, before, during and after 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 treating my own ailment(s), which I characterize as follows: ________________________________, __________________________, and _________________________________. (To All: Does this second portion of Statement # 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 entertainment purposes only; however, I realize that in the process of using this device, I may experience some slight changes.
(Does that take care of any potential problem in Statement # 4?)



Signed: _________________________ and _______________________________
Temporary User of Device Owner of Device

Date: Date:

[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.

[Karl Buchanan]

Part of the problem is I am not a health care provider in any respect, so I have additional considerations that an MD would not.

I have been advised by a member of the forum that the only safe way to do this is to have people treat themselves. They would be using my equipment, and running it themselves. I can tell them what to do, but I should not touch or run the equipment.

Then, if the situation ever comes up where I am under some kind of scrutiny from authorities, I can honestly say "I never have treated anyone outside of my family". We are allowed to treat family members under current law. I only allowed unrelated people to use my equipment, but did not treat anyone.

I do think this would be the safest course to take, although somewhat awkward in practice.

Dan

The 1 thing I would add is

You are NOT telling them what to do. You are just sayi g what-you-would-do-for-your-own-self.

Ie, not "Run detox and healing after"
But "If it was me, I would run detox and then healing after?"

That subtle, all important difference