STATEMENT OF DISCLOSURE
In compliance with the Illinois Veterinary Medicine and Surgery Practice Act of 2004 the following information is being provided to you as the "owner or agent of the owner" of the animal(s) for which consent and acknowledgement of this treatment/therapy is being obtained.
I am not a veterinarian; I do not diagnose medical issues, offer medical advice, prescribe drugs, or perform surgery.
I am an animal communicator, incorporating telepathy (translation/interpretation of pictures, thoughts, and emotions from the animals) with intuitive healing support, to provide individualized consultations with dogs, cats, horses, birds, and other companion animals. I have been providing this service since January 2000. Your animal(s) will receive gentle, compassionate care based on knowledge gained through this experience and courses taken in various modalities.
My role is that of interpreter/translator, assisting your animals to convey their thoughts, feelings, and emotions so you can better understand their perspective. During the course of our consultations, we also have the opportunity to convey thoughts in return to the animals for clarification, and a deeper mutual understanding. The specific results of the communication session(s) will be different for each animal. Beneficial effects of animal communication include understanding their perspective on the source of behavioral problems, releasing trauma and fear surrounding injury, illness, and death, simply understanding the animal's needs and feelings, and deepening the relationship between the animal and their person.
In addition to animal communication consultations, I also teach Animal Communication to owners, caretakers, and practitioners, provide consultations relative to flower essences and essential oils/aromatherapy, and provide references to other practitioners.
These services are not an alternative to or substitute for good veterinary care, proper nutrition, training, or exercise.
Intuitive Healing Support
CONSENT AND ACKNOWLEDGEMENT OF TREATMENT/THERAPY
I have read and understand the above disclosure statement pertaining to the services provided by Carol Schultz. I understand that she is not a veterinarian, her services are not to be considered as veterinary medical treatment, and the comments, suggestions, or recommendations proffered are not to be construed as veterinary medical advice.
I (owner or agent of the owner) agree to have this service for my animal(s) and give my consent by signing below, in compliance with the Illinois Veterinary Medicine and Surgery Practice Act of 2004. I agree that Carol Schultz, LLC, and Carol Schultz will not be liable for any damage or loss caused by my animal(s). Their behavior now and in the future is soley my responsibility. Should any behavior by my animal(s), now or in the future, result in damage to the property, owners or persons of a third party, I agree to assume full liability to such third party for any such damage, and hold harmless Carol Schultz, LLC, and Carol Schultz.
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Signed: ________________________________________ (owner or agent of the owner) Print Name: ________________________________________ Address: _________________________________________ _________________________________________ Phone: _________________________________________ Date: _________________________________________