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Introduction

This consent form is designed to obtain your agreement to participate in the Fast from freedom Program offered by Freedom from diabetes. By signing this form, you acknowledge understanding the risks and conditions associated with fasting.

1. Acknowledgment of Risks

I understand that participation in the medically managed fasting Program involves certain risks, including but not limited to:

• Dehydration
• Nutritional deficiencies
• Dizziness or fainting
• Changes in blood pressure
• Worsening of pre-existing medical conditions

I acknowledge that it is my responsibility to consult with a healthcare professional regarding my participation in the Program and to disclose any relevant medical history.

2. Consent to Participate

I hereby give my consent to participate in the Fast for freedom Program, understanding the risks associated with fasting. I confirm that all my questions have been addressed, and I have received satisfactory answers.

3. Medical Supervision

I understand that the Program is conducted under medical supervision. I agree to report any adverse reactions or health changes I experience during the fasting period immediately to the staff.

4. Personal Responsibility

I agree to adhere to all guidelines provided by the Program, including dietary recommendations, hydration guidelines, and emergency protocols. I understand that I am responsible for monitoring my own health throughout the Program.

5. Waiver and Release of Liability

To the fullest extent permitted by law, I hereby waive, release, and discharge Freedom from diabetes , its officers, agents, and employees from any liability related to my participation in the Program.

6. Confidentiality

I understand that my personal information and health status will be kept confidential and will only be used in accordance with applicable laws and regulations.

7. Amendments

I acknowledge that Freedom from diabetes reserves the right to amend these Terms and Conditions, and I will be notified of any significant changes.

Participant Signature

By clicking below, I confirm that I have read this consent form, understood its contents, and voluntarily agree to participate in the Fast for freedom Program by Freedom from diabetes