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Acknowledgement and Release Form for Naturopathic Services

Welcome to my practice. As you know, I am a naturopath. I am not a licensed physician, nor are naturopathic services licensed by the state OF CALIFORNIA. The idea behind naturopathy is a philosophy based on the belief that the body can heal itself following the laws of nature and using treatments that support normal body functions. Naturopathic medicine promotes the use of organic foods and exercise, maintaining a healthy balanced homeopathy, and herbal therapies. These are used in an attempt to improve health, and stay well, which is believed to be a natural state of the body.

As a practitioner of naturopathy I can provide you with the following kinds of services.
  • Nutritional consulting
  • Iridology
  • Herbal Therapies
  • Muscle Response Testing
  • Energy Medicine
Nutritional consulting is the study of the use of organic foods to help the body to realize its full potential.

Iridology therapies are the use of historic herbs and how they have been used by man for centuries to help the body to meet any and all health challenges.

Muscle Response testing addresses the muscles in motion in regard to organs of the body.

History

Dr. Jack Ritchason, N.D. entered the health field in 1963 and has been on the move ever since...literally. As much an in-demand lecturer on an array of topics including herbs, vitamins, nutrition and iridology. He is sought after constantly for both national and international speaking engagements.

Dr. Jack Ritchason, N.D. graduated in 1979 as a Naturopathic doctor from the Arizona College of Naturopathic medicine, a branch of the American University of Natural Therapeutics and Preventive Medicine. He went on to earn his Ph.D. in nutrition from Donsbach University in California and performed graduate work in homeopathy in Missouri as well as at F.I.T. in Florida.

His arsenal of talents include being a master herbalist (he is even a past Dean of the Herbal Institute in Huntington Beach, California) A registered healthologist, and a certified instructor for Touch for Health.

Among Ritchason's many credits are his charter board membership with Iridologist International, membership with the State society of Homeopathic Physicians, and life membership with the National Health Federation, at one time serving in the Board of Governors and as the Executive Director of NHF. He also holds top positions in multilevel companies. He is considered one of the top iridologists and teachers of iridology today. To help share his knowledge in this field with others he created an iridology home-study course in 1981.

Dr. Jack Ritchason, N.D. also wrote The Little Herb Encyclopedia, revised. He also wrote the Vitamin and Health Encyclopedia and co-wrote Cook Right to Eat Right.

Services:

In order to use my services, California state law requires that you acknowledge receipt of information provided in this form and that you sign it. You will receive a copy and I will keep the original in my records for 3 years.

My method of healing is alternative or complimentary to healing arts that are licensed by the State of California. Under sections 2053.5 and 2053.6 of California's Business and Professions Code, I can offer you these services subject to requirements and restrictions that are described on these pages.

If you have any concerns about the nature of your treatment please feel free to discuss them with me. Feel free to inform you medical doctor that you are using my services.


Acknowledgement and Consent to Receive Services:

I have read and understand the above disclosure about the services provided by Dr. Jack Ritchason, N.D., his training and education. I have discussed this with Jack Ritchason and the nature of services provided... I understand that Dr. Jack Ritchason, N.D. is not a licensed physician and that his services are not licensed by the state. I understand it is my responsibility to maintain a relationship for myself/my child with a medical doctor. I have consented to use the services of Dr. Jack Ritchason, N.D., and agree to be personally responsible for the fees of Dr. Jack Ritchason, N.D. in connection with the services provided to me. I also hold Dr. Jack Ritchason, N.D. free and blameless for any results due to the information or services provided.

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Date:  Monday, September 6, 2010



eSPA Technologies, LLC
3225 Mcleod Dr., Suite 110
Las Vegas, NV 89121
United States
Ph: 805-489-7671
e-mail: sales@e-spa.net