Allergy Center of Bend, LLC, requires 48 hours notice for any canceled appointments. No shows or appointments canceled within 48 hours of scheduled time will be charged the full price of your session. To cancel or reschedule, please call us at 541-241-8782. We do not give refunds.
In scheduling this appointment I hereby release Allergy Center of Bend, LLC, Kristen Jividen, their agents, employees, successors and assigns, and their respective heirs, personal representative, affiliates, and any or all persons, liable or who might be claimed to be liable, whether or not here in named, none of whom admit any liability to the undersigned, but all expressly denying liability, for any, and all actions, causes of action, claims and demands of any and every kind and also any and all injuries and damages that may occur in the present or develop in the future.
I understand that I will be receiving an energy work session and that the purpose of the session is for the well being of my heart and mind. I understand that there is no implied or stated guarantee of success or effectiveness of individual technique or series of appointments. I hereby acknowledge that this is not a substitute for medical care, examination or diagnosis. We do not diagnose, give medical advice, make claim to cure, or predict the future. We reserve the right to refuse service to anyone.
Governing Law/Venue: This agreement shall be governed and construed in accordance with the laws of the State of Oregon. Any claim, action, or suit between Allergy Center of Bend, LLC, and Client that arises out of or relates to performance of this agreement shall be brought and conducted solely and exclusively within the Circuit Court for Deschutes County, Oregon. Provided, however, that if any such claim, action or suit may be brought only in a federal forum, it shall be brought and conducted solely and exclusively within the United States District Court of Oregon. Client, by execution of this agreement, hereby consents to the in personal jurisdiction of said courts.
I agree that neither I, my heirs, assigns or legal representatives will sue or make any other claims of any kind whatsoever against Allergy Center of Bend, LLC, or its members for any personal injury, property damage/loss, or wrongful death, whether caused by negligence or otherwise.
By signing below, I have read and agree to the terms above.
Today's Date: October 26, 2021
(You will receive an email reminder before your appointment)