AYURVEDA CONSENT B

I understand that this is an educational Ayurvedic consultation for the purpose of helping me to improve my health and wellness MIS I understand that Mrs. Miriam Dhanawade is an Ayurvedic consultant and educator who provides me with information on the Ayurvedic approach to health care which may affect my diet and health in a positive way.

I agree that I am interested in and enhancing my own abilities to heal and establish health in a mind and body and this is to reason I have sought Ayurvedic Consulting services. I agree that I may consult a licensed physician for any concern and anytime about Any disease or pathology that now exists or arise during my professional relationship with.

Further I understand that M/s. Miriam Dhanawade encourages regular medical

Check up from licensed Medical Professional of my choice and that any medication that I am now taking it on my licensed directions only a licensed physician of my choice can advise on medications.

My signature below acknowledges the above statement as fully read and understood