I understand that Ayurveda is an ancient system of alternative medicine, and therapies may include Panchkarma, Shirodhara, Herbal recommendations, Health counselling and Nutritional counselling. I understand that the evaluation and assessment of my body is according to the Ayurvedic perspective and the balance and imbalance of three doshas, the dhatus (tissuse), the srotas (channels), and the mallas (wastes) of the body. The practitioner Dr Ashish Kumar at Gold Coast Ayurveda Clinic is not a Medical Doctor. The word Doctor used anywhere at this clinic is suggestive of Ayurvedic Doctor recognised in India after completing Bachelor Degree in Ayurvedic Medicine and Surgery. Dr Ashish Kumar is a registered member of Australasian Association of Ayurveda.
I understand that Ayurvedic treatments does not take place of medical care. The goal of all therapies is to create within your body and mind an optimum environment for healing to take place and to maximize your bodyʼs ability to heal itself. Ayurvedic practitioners do not perform medical treatments and prescribed medications.
It is recommended that I see a licensed physician or licensed health care professional for any physical or psychological ailment I may have. I have been advised to consult a Medical Doctor if a new symptom should arise. If there is a worsening of my condition or it does not improve, I am aware that I should consult a Medical Doctor. I understand that I am fully responsible for all decisions I make regarding whether and when to seek medical treatment.
I understand that Ayurvedic treatments are safe for addressing imbalances of the Doshas in the body. Treatment and advise given at Gold Coast Ayurveda clinic are non – invasive. Serious side effects are rare. In rare cases Ayurveda may be associated with adverse reactions in individual cases. If that happens, I am advised to seek medical treatment.
I understand that Ayurvedic treatments may on occasion cause temporary discomfort including changes in basic temperature, dizziness, headache, nausea, fatigue and others. I also understand there is always a possibility of unexpected complication. I understand that no guarantee can be made concerning the result of the therapy. I will not hold Dr Ashish Kumar at Gold Coast Ayurveda Clinic responsible for any change in my current health status or any loss or injury resulting from the consultation.
I understand that I may stop or refuse therapy at any time. I wish to proceed with treatments at this clinic at my decision and not seeking this treatment as a result of inducement or promises made by the practitioners at Gold Coast Ayurveda Clinic.
I have read the above conditions and had an opportunity to discuss with Dr Ashish Kumar. I wish to proceed freely and voluntarily with such treatment. By signing below, I authorise Dr Ashish Kumar to proceed with the treatment with the full and informed consent on my part for all relevant facts set forth in the consent form. I intend this consent form to cover all consultations, therapies and treatments at Gold Coast Ayurveda Clinic.