I UNDERSTAND that Resplendent Life Society (“RLS”) may include members with varied medical and alternative medicine backgrounds, including but not limited to medical doctors, chiropractors, or health providers licensed in other states or countries, licensed or retired nurses, as well as natural providers who work under certifications. I understand that there is no license, only certification, for some alternative medicine professions. In virtually every state, providers who have chosen these professions seek out alternative routes of education and certification because university degrees, state certification boards, and licensing agencies do not exist for their particular profession. As a result, providers work with certifications from reputable professional organizations that require professionals to display a standard of knowledge, training, and experience before being certified. I understand that these non-governmental certification boards have clearly established professional standards, including exams and continuing education, but that this does not constitute a license.

I UNDERSTAND that no doctor/patient relationship or client/provider relationship exists between myself and Health Provider Members, rather only a contract member/member relationship exists. In my interactions with other members of RLS, including its Health Provider Members, I freely change my legal status from the public domain of an individual seeking medical diagnosis and treatment to a member of a private membership association seeking knowledge and assistance with natural therapies from Health Provider Members. I agree that I recognize and will exercise the duty and obligation to use due care and to perform due diligence regarding any natural therapies discussed with or suggested by any Health Provider Members before beginning any such therapies. I fully accept the responsibility to carefully weigh the benefits and risks of any proposed natural therapy, product, or natural protocol suggested to me by a Health Provider Member, and that the sole responsibility for the suggested therapy is mine alone.

I UNDERSTAND that the relationship between RLS members is not established for the purpose of diagnosis and treatment of disease, but that I nevertheless have the right to share my medical records and previously diagnosed health issues with members if I choose. I reserve the right to discuss certain health issues for which no written record shall be maintained.

I UNDERSTAND that since no doctor/patient privilege exists between myself and Health Provider Members, it is therefore up to me as a private association member to decide what information I wish to share and with whom I wish to share information. I also understand that I am waiving HIPAA privacy rights and complaint processes as to any medical information that I wish to share. Any medical records that I choose to provide as well as notes made as a result of natural therapies within the scope of my membership (“Confidential Information”) will be kept in electronic form, the access to which is password-protected. Only Health Provider Members and their staff will have access to Confidential Information. My Confidential Information will not be discussed with or disclosed to any person other than myself and Health Provider Members. Should the disclosure of Confidential Information be compelled by court order or other compulsions of law, I will be promptly notified in advance of such proposed disclosure so that I may be heard respect to any such disclosure. (*for details on how RLS protects your information see footnote below.)

I UNDERSTAND that RLS has the option to provide for its members cutting-edge natural medicine at a reasonable fee. These include, but are not limited to: spiritual, mindful, emotional, physical techniques; wellness decision support technology; darkfield microscopy/live blood cell examination; frequency devices; essential oils and supplements; nutrition; raindrop, neuro application technique, oxygen bar; natural cleansing therapies, far-infared, ozone, red light therapies; Evox emotional healing; techniques and devices to assess and support body systems; blood, urine and saliva assessments; neuromuscular balance and lymphatic drainage therapies; as well as supporting existing medical protocols.  Resplendent Life Society hereby states the right to add other therapies not specifically mentioned, and remove availability of experiences, techniques, and therapies at the discretion of the Steward of Resplendent Life Fellowship. 

I UNDERSTAND that my membership fee does not include any fees associated with natural therapies and that there will be an additional charge for each natural therapy in which I choose to engage.

I UNDERSTAND that RLS does not participate in any medical insurance plans and Health Provider Members are not required to provide invoices for suggested services, either at the time they are recommended or at the time they are provided.

I UNDERSTAND that at the time of creation, RLS has identified Christine Marie Holly as an administrator steward of RLS. Christine Marie Holly is regarded by RLS as the individual member best qualified to oversee the natural health protocols and services available to RLS members, and at her sole discretion to include and/or exclude Health Provider Members who provide or assist with additional natural health care services. I authorize Christine Marie Holly, other Health Provider Members she selects, and their staff to contact me as they deem necessary.

I UNDERSTAND that should any conflicts arise between any member, whether Health Provider members or non- Health Provider members that cannot be resolved, that conflict will be resolved by legally binding arbitration, not a civil lawsuit.

I UNDERSTAND that our members include licensed medically trained doctors and that RLS does not reject conventional medicine. Members are free to seek testing, diagnosis, and treatment options through established medical doctors outside RLS. However, the results of any outside testing, diagnosis, or treatment do not give rise to liability on the part of RLS.

I UNDERSTAND that Health Provider Members are available to me by appointment only and that I cannot expect Health Provider Members to provide emergency care. I understand that I have the responsibility to pursue appropriate medical, urgent, or emergency medical services when needed and that any information or natural health therapies provided by Health Provider Members should not be viewed as a substitute for medical care, urgent, emergency, or otherwise.

I UNDERSTAND that, according to the United States Supreme Court, members of a private association have the right to contract with each other and conduct business activities as long as those activities do not “create a clear and present danger that they will bring about … substantive evils.” Although it is unlikely that natural therapies would cause significant harm, by my signature below, I agree to hold RLS and its members harmless from any act that does not meet the Supreme Court’s standard of misconduct.

I UNDERSTAND that membership in RLS, or consultation or natural therapies by Health Provider Members, does not guarantee a cure or definite resolution of any health issues, and no such outcome is warrantied, either expressly or impliedly.

I UNDERSTAND that in order for any minor child under the age of 18, or any child over the age of 18 with disabilities who are under legal guardians to receive services available to club members only, that all custodial parents or legal guardians must join RLS.

* Resplendent Life Society uses a HIPAA approved secure medical EHR to record all information shared by clients. We do not scan medical documents that clients bring in for appointments into the portal. We also use Proton for communications and storage.