I, the undersigned, hereby acknowledge and agree:

1.   The purpose of the Post Gallbladder Removal Repair Plan is to improve the overall health, vitality and well-being of the body through nutritional education and the use of natural foods and non-medicinal nutritional supplements. The Nutritionist, Olivia Haas and Haas Life Wellness, LLC does not diagnose diseases, disorders or conditions.
2.     The Nutritionist, Olivia Haas, is not a licensed Dietitian, Naturopathic Doctor or Medical Physician.
3. As part of the Post Gallbladder Removal Repair Plan and consulting sessions, I may be asked to provide information concerning my physical habits, medical history, moods, energy levels, likes and dislikes, lifestyle and diet. This information is collected to enable the Holistic Nutritionist to: (i) assess my knowledge of nutrition, (ii) education me about the benefits of sound nutritional practices and (iii) recommend dietary changes to improve my general health, vitality and overall

well-being. The Nutritionist, Olivia Haas will hold this information in confidence and will not release or disclose this information to any other person, without my prior consent, except as required by applicable law.

4.     If the Nutritionist, Olivia Haas, suspects the existence of disease, disorder or condition, I will be informed of this suspicion. However, I acknowledge this is not a diagnosis or conclusion about the state of my health and that I am directed to promptly consult a licensed Physician or Naturopath about any suspected problems.
5.     Should I request the Nutritionist, Olivia Haas, to recommend dietary changes and/or nutritional supplements to enhance my body’s natural ability to resist and/or overcome a known disease, disorder or condition, it is my responsibility to disclose the nature of the disease, disorder or condition and all other relevant details to the Nutritionist, Olivia Haas. If I have not previously consulted a licensed Physician or Naturopath about this disease, disorder or condition, I acknowledge that I am directed to promptly do so. I am not to alter or discontinue treatments prescribed by a licensed Naturopath, Physician or other licensed health professional without consulting the individual who prescribed the treatment.
6.     In providing Nutrition Counselling Services to me, the Nutritionist, Olivia Haas, is relying upon the truth, accuracy and completeness of all information I have provided to her. Any recommendations I follow for changes in diet, including the use of nutritional supplements, are entirely my sole risk and responsibility.
7.     Olivia Haas is in no way liable for my health or safety.
8.     In consideration of my participation in the Post Gallbladder Removal Repair Plan, I hereby accept all risk to my health, including injury or death that may result from such participation and services provided and I hereby waive and release the Nutritionist, Olivia Haas, on my behalf and on behalf of my personal representatives, estate, heirs, next of kin, and assigns from any and all costs, claims, causes of action and damages arising out of, related to including but not limited to personal injury, illness and death caused by or occur as a result of my participation in the Post Gallbladder Removal Repair Plan, whether caused by any act or omission of the nutritionist Olivia Haas at Haas Life Wellness LLC.
9. PAYMENTS AND REFUNDSPayments are due at the time of service and there are no refunds for payments made to Haas Life Wellness LLC.
10. HEALTH CLAIMS. HAAS LIFE WELLNESS LLC IS NOT A MEDICAL ORGANIZATION. YOU MUST NOT CONSIDER THE PROGRAM OR THE DOCUMENTATION AS MEDICAL ADVICE OF ANY KIND, AND THE PROGRAM IS NOT INTENDED TO DIAGNOSE OR TREAT ANY ILLNESS, DISEASE, PREVENT SURGERY OR ADVERSE MEDICAL CONDITION. 

You should seek the advice of a physician or dietary consultant before starting any dietary program to ensure it is suitable for your specific medical, healthy and dietary needs. Haas Life Wellness LLC does not suggest or represent that any of the programs have been approved for your individual use by a physician or other medical professional. In addition, Haas Life Wellness LLC does not warranty or guarantee the accuracy, completeness, or usefulness of any nutritional information of any meal or adopt, endorse, or accept responsibility for the accuracy, completeness, or usefulness of any nutritional information regarding any meal.

12.     I understand that any recommendations or therapies provided by Haas Life Wellness LLC are undertaken of my own free will. I accept that the ultimate responsibility for my health care is my own and that Haas Life Wellness LLC is here to support me in this. I understand that Olivia Haas, Haas Life Wellness LLC reserves the right to determine which cases fall outside their scope of practice, in which event an appropriate referral will be recommended. I hereby agree to assume full responsibility for any manner of loss, injury, claim or damage whatsoever, known or unknown, incurred as a result of same and I, my heirs, executors, administrators or assigns for any loss, injury, claim or damage sustained as a result of my attendance and/or participation. I have read the above release and waiver of liability, and fully understand its contents and voluntarily agree to the terms and conditions stated.
13. I agree that any term or provision in the consent form that is illegal or invalid as stated in law or as held by a court of competent jurisdiction will be severed from this consent form, and all other provisions and terms will survive. I agree that is severed will be replaced with a term that comes closet to the intent of such severed provision.

14. I agree that laws of the State of California will apply to any dispute arising out of this consent form or any services provided by Olivia Haas or Haas Life Wellness LLC, and I agree the jurisdiction of the Superior Court of the County of Los Angeles, State of California.

I have carefully read and understand this agreement and agree to the terms outlined above. I understand this agreement to be a full and final waiver and release of all costs, claims, causes of action and damages of any kind arising from or related to the Post Gallbladder Removal Repair Plan.