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Liability Form

  • Detox Waiver

  • Thank you for your interest in our Detox programs. We believe it is beneficial to cleanse your body of toxic and inflammatory substances to help optimize your metabolism and improve your overall health. However, we want to make sure that our program is an appropriate fit for you. Please read this information carefully and sign (type) your name at the bottom to indicate that you have read and qualify for our program.  We also need to know your estimated start date.

    This program is not appropriate for you if you are pregnant or nursing or under 12 years of age.  If you have any significant medical conditions or are taking medications, consult your healthcare practitioner before starting. 

    If you consume a significant amount of caffeine, simple sugars or artificial sweeteners, you may experience withdrawal headaches if eliminating them all at once.  We recommend that you slowly decrease your intake of these substances BEFORE starting your detox.

    Our detox diet plan that we developed slowly eliminates foods that are potentially allergenic, inflammatory, and toxic to our body. The staple food ingredients utilized in our meal plan are mostly vegetables, fruits, brown rice, quinoa, beans, and some nuts. If you dislike or do not tolerate most of these foods, this detox may not be suitable for you.


  • We need to know when you are planning to complete this detox program. Let us know your estimated start date so we can get you setup properly with important resources, emails and videos. Be cautious and choose a time frame that is not too busy or stressful.
    Date Format: MM slash DD slash YYYY
  • I have read this Letter of Understanding and recognize that it is important to consult with my physician/health care provider before starting our Detox Program.