Disclosures, Client Authorization, Records Release & Consent

 

Arrowhead HealthWorks™ is a non-medical Wholistic Integrative Wellness Center. We may utilize licensed and non-licensed doctors, practitioners and therapists dedicated to a wholistic approach to healthcare (Chiropractic; Naturopathic; Medical, Estheticians; Massage Therapy, etc.). We also have a highly screened and very specific physicians & dental network we refer to which we believe to be high quality and safe as well as ethical in their business practices. We're affiliated directly with Europa Institute of Integrated Medicine in Tijuana, Mexico (Jeff Freeman, M.D. & Sonia Rodriguez, M.D.) as well as maintain a network of qualified Integrative and Wholistic Practitioners and specialists we refer to.

 

We offer Private Consultations, Naturopathic Services, Lymph Therapy, Quantum Energy Balancing , Nutrition, Enzyme Therapy, Natural Hormone Balancing, Metabolic Analysis and Balancing, Aesthetic and Antiaging Products & Services, Oxygen Therapies, Herbal and Homeopaathic Remedies, Nutraceuticals, Vitamins, Minerals, Amino Acids, Home Healthcare Equipment, Hands on Prayer, Pulsed Magnetic Therapy, Phototherapy, Far Infrared, etc.

 

Carolyn Bormann, N.D., L.T., C.P. is the founder and owner as well as a Naturopathic Practitioner (as opposed to a licensed NMD/ND which is a Naturopathic Medical Doctor). She received her N.D. degree from Clayton School of Healing in 1995. She has worked in the allopathic medical field since 1974 and has used "Alternative" since 1988. She is Certified & Board Elligible in BioOxidative Medicine as well as trained in Medical Hyperthermia, Phlebotomist/Lab Tech, and is getting her Esthetician's license as well. She provides private consultations, professional consultations to physicians and therapists, nutrition, enzyme therapy, sauna therapy, lymph therapy, drugless pain management, herbal remedies, homeopathics, natural hormone balancing, nutritional and biochemistry analysis, etc.

 

Marvin McCormick, D.C.© is a friend and visiting guest whose extensive Quantum Medicine knowledge we offer to our patients when he is around...he is in great demand and spends a lot of time on the road. He is a graduate of Cleveland College of Chiropractic and has been a practicing Chiropractor for more than 30 years. In addition to practicing "Old Fashioned" thorough Chiropractic services which requires spending as much time as needed to determine and resolve issues (as opposed to the new "crack'n back type centers everywhere now), he is a Quantum Medicine Specialist and has developed his own modified methods of Intuitive Assessment using information gleaned through the perineural nervous system (Dr.R.Becker / Dr/Oshmann) which shows energy blockages in the body and if able to remove them, allows the body to heal itself. He loves to teach about it. Quantum Energy Medicine is based on concepts first set forth by Nobel Prize Winner Albert Szent-Gyorgyi who discovered Vitamin C among other things and it is a rapidly growing field of Medicine which warrants closer attention. It is the Future of Medicine in our opinion.

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Initial services may include in-depth health history, records review, consultation, and possible Quantum Energy Evaluation and Balancing or Lymphatic Therapy if needed. However it may become evident that further diagnostics or evaluation is necessary which may require outside referral to a lab, imaging facility, or specialist. In that case, we'll refer to one on our network below or may be able to work with the client's own healthcare providers if desired (although most Alopathic healthcare providers are not trained or qualified in the areas in which we work). Below is a list of our current network affiliations...

Should medical intervention be required, we choose from these physicians and therapist first unless you have a current physician who is willing to work with us and is trained in the use of Alternative Medicine/CAM methods. Our client base are typically independent thinkers and highly motivated responsible self-starters. They want to be actively involved in their health care and not passive. Therefore, it is important that you understand that in the event that you choose to utilize any of our services, suggested supplements, food regimens or programs suggested and/ or utilize our referral recommendations to other facilities or professional services that we believe could be helpful, without the involvement of a licensed health professional / medical doctor, you are prescribing for yourself, which is your 9th Amendment Right, but we assume no responsibility or liability for the outcome. Healing is multifaceted as is life and there are no simplistic answers.

 

As a Biblically based business, we believe that God's Power is what creates and sustains life and that a human being does not have the power to cure another human but only channel God's energy and act as a tool toward helping the body restore & maintain health and vitality to be able to fulfill their purpose on this planet. We're here to empower you toward good health as much as is in our power to do so. Our foundational principles are Newtonian in nature (based on the Bible) and on the concept that everything when it comes down to it is energy based. So, we utilized Quantum Principles and other priniples of Physics and Prayer in our approach to vibrant health.

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RISKS

All risks and benefits of any product, procedure, dietary changes, or tests will be explained to the best of our knowledge and we will take as much time as necessary to make sure you understand everything so that you can make intelligent decisions, and we respect your right to self determination. No product or other purchases are required to utilize our services.

The outcomes and information gleaned through our consulting, therapies or services are not to be misconstrued to be either directly or indirectly dispensing medical advice for the cure or mitigation of any disease or condition. Neither is it an attempt to diagnose or prescribe being that is only the realm of licensed medical doctors. We are not a Medical Practice.

We're also required to inform you that because of that fact, we do not carry malpractice insurance.

 

I fix my signature to certify that I, (print name)________________________________________ am voluntarily seeking the services of Arrowhead Healthworks™ and its practitioners, doctors, therapies and services. I have read and understand the above statements and conditions. I agree and consent to work together proactively to build my health. I understand that I have options to consult with both licensed and unlicensed practitioners and therapists at my discretion and that this is not a licensed medical practice but your services are designed to provide health building information and products and therapies and should I choose to use any of this information for self healthcare, I agree to hold Arrowhead Healthworks and all of its therapists and doctors harmless from any present of future liability.

 

CONSENT

I give permission to procure and review my healthcare records, medical records, Lab and Xray or Diagnostic reports, and any other necessary paperwork required to give a good idea of what has been done and where I stand to be used in the assessment of my health status and in determining what services may be offered for my benefit. To the best of my knowledge, these statements are true. I understand that my personal information will be held confidential and not made available for sale or use for marketing lists, internet databases or anything else.

I am over the age of 18 and able to make my own healthcare decisions.

I have Power of Attorney for making healthcare and treatment decisions for the above named patient. (we'll need a copy of the notarized POA for our files)

 

(Patient Signature) ________________________________________(Date) _____/________/_______

 

(Guardian / Power of Atty Signature) ________________________________________(Date) _____/________/_______

©1994-2009Arrowhead HealthWorks ™ P.O.Box 3668, Crestline, CA 92325

(909) 338-3533 / FAX (909) 338-3743

E-mail: dbormann@arrowheadhealthworks.com *ARROWHEADHEALTHWORKS.COM