Herbal Therapy Informed Consent

Nature of Herbal Therapy

The client ("Client") acknowledges and agrees that the herbal therapy service is a personalized wellness service involving the preparation of individualized herbal supplement formulas based on information provided by the Client during a video consultation with a practitioner ("Practitioner").

The Client understands that the consultation is intended to support the Practitioner's assessment of the Client's wellness goals, history, symptoms, preferences, and other relevant information, and that the resulting formula is custom compounded for the Client and is not a standardized over-the-counter product.

The Client further acknowledges that the herbal supplement formula may be prepared, packaged, and shipped on a recurring monthly subscription basis, subject to the Client's enrollment status, the Practitioner's ongoing assessment, and any applicable subscription terms, billing terms, or cancellation policies provided by the Practitioner.

The Client understands that the composition of the formula may be adjusted from time to time based on follow-up consultations, changes in the Client's reported condition, Practitioner judgment, availability of ingredients, or other clinically relevant considerations.

The Client agrees to promptly review all product instructions, warnings, and usage directions provided with each shipment and to use the herbal supplements only as directed by the Practitioner or other qualified healthcare professional.

Evidence Limitations

The Client acknowledges and agrees that the herbal therapy service and related traditional Chinese medicine approaches are based on individualized assessment, traditional practice, and the professional judgment of the Practitioner, and that the scientific evidence supporting the use of such approaches for particular symptoms, conditions, or health goals may be limited, mixed, preliminary, or evolving.

The Client further acknowledges that:

• the effectiveness of any herbal formula, supplement, recommendation, or related service may vary from person to person;
• no representation or warranty has been made that the herbal therapy service will diagnose, treat, cure, mitigate, or prevent any disease or condition, or achieve any particular outcome;
• results are not guaranteed and may depend on numerous factors, including the Client's medical history, adherence, concurrent medications, lifestyle, and individual response;
• traditional Chinese medicine concepts and herbal recommendations may not be supported by the same level of clinical evidence as conventional medical treatments; and
• the Client should not discontinue, delay, or modify any prescribed medication or treatment without first consulting an appropriately licensed healthcare professional.

The Client understands that the herbal therapy service is not a substitute for emergency care or for diagnosis and treatment by a physician or other licensed healthcare professional where such care is appropriate. The Client agrees to seek prompt medical attention for any severe, worsening, or unexpected symptoms.

By proceeding with the herbal therapy service, the Client confirms that the Client has had the opportunity to ask questions regarding the nature and limitations of the service, understands that the recommendations are made in light of the current state of knowledge and the Practitioner's clinical judgment, and accepts the inherent uncertainty associated with individualized herbal therapy.

Potential Interactions with Medications

The Client acknowledges and agrees that herbal ingredients, botanicals, and other components included in the herbal therapy service may interact with prescription drugs, over-the-counter medications, vitamins, minerals, dietary supplements, and other products the Client may be taking or using. Such interactions may alter the effectiveness of one or more products, increase the risk of side effects or adverse reactions, or otherwise affect the Client's health and safety.

The Client further acknowledges that certain medical conditions, including but not limited to pregnancy, breastfeeding, liver disease, kidney disease, cardiovascular conditions, bleeding disorders, diabetes, autoimmune disorders, seizure disorders, allergies, and other acute or chronic conditions, may affect the appropriateness of herbal therapy or increase the risk of adverse effects or interactions.

The Client represents and warrants that the Client has disclosed, and will continue to disclose promptly and accurately, to the Practitioner all prescription medications, over-the-counter medications, supplements, herbal products, allergies, diagnoses, symptoms, relevant laboratory results, and material health history information that may be relevant to the herbal therapy service. The Client shall promptly notify the Practitioner of any changes to such information, including any new medications, dosage changes, newly diagnosed conditions, pregnancy, breastfeeding, or adverse reactions.

The Client understands that the Practitioner will rely on the accuracy and completeness of the information provided by the Client in formulating recommendations and that failure to disclose relevant information may result in inappropriate recommendations, reduced effectiveness, or serious harm.

The Client acknowledges that the Practitioner does not guarantee that the herbal therapy service will be free from interactions or adverse effects, and that the Client remains responsible for consulting with the Client's physician, pharmacist, or other qualified healthcare professional regarding potential interactions or contraindications. If the Client experiences any unusual, severe, or concerning symptoms, the Client shall discontinue use of the relevant herbal product and seek immediate medical attention, as appropriate.

Risks and Benefits

The Client acknowledges that the herbal therapy service is intended to provide individualized herbal supplement recommendations and related support based on the Client's consultation with a Practitioner. The Client understands that, depending on the Client's condition and response to treatment, the potential benefits of the herbal therapy service may include symptom support, individualized care tailored to the Client's reported needs and health history, and recommendations designed to promote overall wellness.

The Client further acknowledges and agrees that herbal therapies may involve risks and uncertainties. Such risks may include, without limitation, side effects, allergic reactions, digestive upset, changes in symptoms, interactions with other medications, supplements, or health conditions, and the possibility that the herbal formula may not be effective for the Client's particular condition or may provide only limited benefit.

The Client agrees to promptly discontinue use of the herbal supplements and seek medical attention if the Client experiences severe or unexpected symptoms, signs of an allergic reaction, or any other adverse effect. The Client also agrees to inform the Practitioner and Daodi of any known allergies, sensitivities, pregnancy or breastfeeding status, existing medical conditions, and all medications or supplements currently being taken, and to update such information as it changes.

The Client acknowledges that the herbal therapy service is not a substitute for emergency care, diagnosis, or treatment by a physician or other qualified healthcare professional, and that the Client remains responsible for obtaining appropriate medical care as needed. The Client has had the opportunity to ask questions regarding the potential benefits and risks of the herbal therapy service and voluntarily consents to proceed with the herbal therapy service with full understanding of those benefits and risks.

Alternatives

The Client acknowledges that, before deciding to receive the herbal therapy service, the Client has had the opportunity to consider and, if desired, pursue alternatives, including:

• conventional medical evaluation, diagnosis, and treatment by a physician or other licensed healthcare Practitioner;
• lifestyle modifications, including changes in diet, exercise, sleep, stress management, hydration, and other self-care measures;
• watchful waiting or no treatment, where clinically appropriate; and
• consultation with other licensed healthcare Practitioners, including specialists, to discuss symptoms, risks, benefits, and treatment options.

The Client understands that the herbal therapy service is not a substitute for emergency care, primary care, or other conventional medical treatment, and that the Client may choose any alternative at any time, including declining the herbal therapy service entirely or discontinuing it after it has begun.

Not a Substitute for Medical Care

The Client acknowledges and agrees that the herbal therapy service is provided for general wellness and supportive purposes only and is not intended to diagnose, treat, cure, or prevent any disease or medical condition.

The Client further acknowledges and agrees that the herbal therapy service is not a substitute for medical advice, diagnosis, treatment, emergency care, or ongoing management by a physician or other licensed healthcare professional. The Client should continue to consult with, and follow the advice of, the Client's physician or other qualified healthcare Practitioner regarding any medical condition, symptoms, medications, laboratory results, or treatment plan.

The Client understands that the recommendations provided through the herbal therapy service, including any recommendations made by a Practitioner, do not replace evaluation by a physician or other licensed healthcare professional, and do not create a physician-client relationship between the Client and the Practitioner unless expressly agreed in a separate written agreement.

The Client agrees to seek immediate emergency medical attention by calling emergency services or going to the nearest emergency department if the Client experiences severe, worsening, or potentially life-threatening symptoms, including without limitation chest pain, difficulty breathing, loss of consciousness, signs of stroke, severe allergic reaction, suicidal thoughts, or any other urgent medical concern.

The Client is solely responsible for informing the Client's physician or other licensed healthcare professional of the Client's use of any herbal supplements, dietary supplements, prescription medications, over-the-counter medications, and other therapies, and for obtaining medical clearance where appropriate before using the herbal therapy service.

Nothing in this Agreement limits the Client's right to seek care from, or the Practitioner's recommendation that the Client consult with, a physician or other licensed healthcare professional for diagnosis, treatment, emergency care, or ongoing medical management.

Client Acknowledgment and Consent

The Client acknowledges and represents that the Client has had a reasonable opportunity to ask questions regarding the herbal therapy service, including the consultation process, the preparation and shipment of individualized herbal supplements, the anticipated follow-up consultations, and the nature, purpose, and limitations of the service.

The Client further acknowledges that the Client understands that the herbal therapy service is provided on a Monthly Subscription Basis, and that the Client's individualized herbal formula may be reviewed, adjusted, compounded, packaged, and shipped periodically based on the Client's consultation, ongoing communication, and clinical assessment by the Practitioner.

The Client understands and agrees that the Practitioner will conduct the Client's consultation and formulate herbal supplement recommendations based on the information provided by the Client, and that such recommendations are intended to support the Client's wellness goals and are not a guarantee of any particular outcome.

The Client acknowledges that the Client has been advised to disclose accurately and completely all relevant health information, including current symptoms, medical conditions, allergies, sensitivities, medications, supplements, pregnancy or breastfeeding status, and any other information that may be relevant to the safe provision of the herbal therapy service.

The Client understands that herbal products may not be appropriate for every individual and that use of herbal supplements may involve risks, including adverse reactions, interactions with medications or other supplements, and the possibility that the recommended formula may need to be modified or discontinued based on clinical judgment or the Client's response.

The Client acknowledges that the Client has been encouraged to consult with the Client's physician or other qualified healthcare Practitioner regarding any medical condition, medication, or concern that may affect the Client's use of herbal supplements, and that the Client remains responsible for seeking emergency or urgent medical care when appropriate.

By proceeding with the herbal therapy service, the Client voluntarily consents to receive herbal therapy, including the initial consultation and related follow-up consultations, and authorizes the Practitioner and Daodi to provide the services described herein in accordance with applicable law and the applicable service terms.

The Client further acknowledges that the Client is not relying on any statement or representation not expressly set forth in the applicable service materials, and that the Client's consent is given freely and voluntarily, without coercion or undue influence.

Follow-Up Consultations and Formula Adjustments

Follow-up consultations are optional and may be scheduled at the Client's request, or at the recommendation of the Practitioner, to review the Client's progress, discuss any changes in symptoms, tolerance, lifestyle, or goals, and determine whether any modification to the herbal therapy service is clinically appropriate.

The Client acknowledges and agrees that any follow-up consultation and any resulting adjustment to the herbal formula are subject to the Practitioner's independent professional assessment, judgment, and discretion, and may be declined, deferred, or limited if the Practitioner determines that no change is indicated or that additional information is required before any adjustment can be made.

If the Practitioner determines that a formula adjustment is appropriate, the Practitioner may revise the Client's individualized herbal formula, ingredients, dosage, preparation, or dispensing instructions, and may update the Client's next shipment accordingly, subject to the applicable subscription terms and any additional consent or confirmation required by the Practitioner.

The Client understands that follow-up consultations do not guarantee any particular outcome, improvement, or formula change, and that the herbal therapy service is provided on a Monthly Subscription Basis unless otherwise stated in the applicable service terms. The Client remains responsible for promptly reporting any adverse reactions, new diagnoses, medication changes, pregnancy, breastfeeding status, or other material health changes that may affect the safety or suitability of the herbal formula.

Nothing in this clause requires the Practitioner or Daodi to provide unlimited follow-up consultations, to maintain any formula unchanged, or to continue any formula that the Practitioner determines is no longer appropriate, safe, or clinically indicated.