Jack M. Ebner, Ph.D. is not a physician nor a psychologist and does not represent himself as such. He is a Biophysiologist. As his student/client, you will be taught a lifestyle of healthful living. The lifestyle you learn and master is not a substitute for medical treatment. For any medical problems it is important that you have seen your physician and have had any medical treatment completed or underway. In response to the above declaration, you agree that you will always seek medical advice for medical treatment. As a student/client, you are here to learn effective use of health enhancing measures. You hereby acknowledge that nothing in the teachings or methods as taught by Jack M. Ebner is for the purpose of diagnosing, treating, alleviating, curing, preventing or caring for "disease" in any way or manner whatsoever. You clearly understand that "diagnosis" or treatment of any kind for any "disease" is outside the scope of what you will be learning. You clearly understand and acknowledge that all of the teachings and methods as administered by Jack M. Ebner are for the sole purpose of assisting people to learn how to build their own health through healthful living.
If you are contemplating becoming a client, it would be necessary for you to fill this form out, print it and either mail me a hard copy or e-mail it. By filling out and sending the below information, you are not committing to anything nor am I; however, it is necessary for me to have certain information about you and your situation so that I can determine whether or not I could be of assistance to you.
