CONSENT, DISCLOSURE & DISCLAIMER (AGREEMENT)
I, _____________, request the services of Dr. Stephanie Smith (herein referred to as Stephanie), to perform spiritual, energetic, natural health, nutritional, herbal, homeopathic, behavioral and other holistic health assessments of my animal(s), followed by recommendations for which are intended to help reduce my animal’s/animals’ stress, enhance overall health, and improve wellbeing.
I understand that I am and have full responsibility of my animal’s/animals’ health and wellbeing. The information Stephanie provides is for educational purposes only. What I do with this information is for me to decide and to discuss with my animal’s/animals’ veterinary medical and support team.
I understand that Stephanie completed her Doctor of Animal Naturopathy (DAN) program at Kingdom College of Natural Health and graduated in 2025. Stephanie has obtained many degrees, certifications, and engaged in many courses of study over the decades. Some of which include a Master’s of Art in Health Education, Bachelor of Science in Movement Science, Certified Dog Behavior Consultant (CDBC), Certified Professional Canine Nutritionist, Animal Communicator Mentorship program, Certified Reiki Practitioner, Certified Health Coach, Canine Herbalist, Acute Animal Homeopathy, Certified Dog Trainer and much more. Stephanie has nearly two decades experience in holistic health overall and close to five years of professional experience with canine and animal natural health and behavior.
I understand that Stephanie is not a licensed professional and therefore does not diagnose, prescribe, treat, or cure for any disease, mental, physical, or behavioral and any recommendations made are to be discussed with my [holistic] veterinarian or other licensed medical professional of my choosing.
I understand that donations are due in full prior to the start of consultations, sessions, seminars, workshops, and other services offered. All appointments require a 48-hour notice of cancellation for full refund. A 50% refund will be given for appointments cancelled within the 48 hours timeframe.
By typing my name and autographing [signing] below, I accept the above and enter into this agreement willfully and without reservation.
Client Name
Client Signature __________________________________________ Date ______________________________