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  1. #1
    Specialist Chat with me Daniel Bergman's Avatar
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    Default Release form for frequency treatment

    I am starting to have people who would want me to try treat a condition of one kind or another, usually one that has not been resolved by conventional medicine.

    I am looking to protect myself from any future problems related to treating people with frequencies as an experimental treatment.

    Does anyone have a liability release form of some kind that covers this area?

    Thank you.

    Dan Bergman

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    Default Re: Release form for frequency treatment

    Dan'
    Dr Johnson wrote some for himself and a few other doctors. There are copies to see.
    Hopefully theirs is up to the technical application of the therapy.
    It looked like it would cover most of what we do.
    Than again?

    Marshall

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    Specialist Chat with me Daniel Bergman's Avatar
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    Default Re: Release form for frequency treatment

    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

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    Default Re: Release form for frequency treatment

    Does anyone have a release form that might be useful?

    I've seen some online.

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    Specialist Chat with me Russell Shipp's Avatar
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    Default Re: Release form for frequency treatment

    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.


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    Normal Chat with me Richard Di Nucci's Avatar
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    Smile Re: Release form for frequency treatment

    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:
    Last edited by Richard Di Nucci; 01-09-2014 at 01:32. Reason: Clarity & deletion of potential problem areas

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    Specialist Chat with me Karl Buchanan's Avatar
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    Default Re: Release form for frequency treatment

    Quote Originally Posted by Daniel Bergman View Post
    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
    There is not a day that goes by where I remember to thank God enough

    http://www.ElectricShaman.org

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    Default Re: Release form for frequency treatment

    I just looked up musical rental agreement, I'd leave out anything to do with the use of the device, and just use one of the common rental agreements, I see nothing wrong in charging for the device. I've ordered a cheap one, but if it works out I'll get a more expensive one, and rent will help with the cost.

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