Please note that Mr. Antonio Mark McCoy Sr. The Said Magnetic Healing Therapist. Do not have, nor do he require, any License to practice Magnetic Healing Therapy. As per the State of Colorado currently. As there are currently no Specific Licensing Programs for the various forms of "Alternative Medicine" in the State. Which includes his Magnetic Healing Therapy. Mr. McCoy as a Rare-Earth Magnetic Therapist. Magnetic Therapist Holistic Practitioner. Those which are his advertised titles. He who has been practicing Magnetic Therapy since 2006 here in Colorado. His Practice which proceeds any Future Colorado Regulations or Laws that could be imposed to govern and/or regulate it.
that, if Clients use only
their own and/or Private "out of pocket" Funds
pay for service. No Certification or License is required, for any
"In-Home" or "Out-of-Home"
Services by Mr. McCoy. With that said. Mr. McCoy "DO NOT" and "WILL
NOT" accept any Medicaid or Medicare payment/s. Or any other
Payments for his services. And only the Clients "out of pocket" or
payments will be accepted by him.
fee for services being $500.00 (Five Hundred Dollars U.S.) per
for his services. Payments which will not be paid to him until he gets
proven results for the Said Client who signed below. Such proven
results which will include the "felling of physical well being" from
the Said Client. Which also defines as the Clients "positive feeling/s"
after a healing session. And of Physical Feeling. As well as proven
Ex-Rays of the Clients
Cancer/s and/or Tumor/s, loss or stoppage/s. And/or Ex-Rays of
the Said Clients Sports and/or Sports Related Injury. After the healing
And/or after several healing sessions.
The Said Magnetic Therapist. Who'll agreed to provide "only 1"
the Said Client is required to
make payment. Mr. McCoy who'll then require the payment of $500.00 (Five Hundred Dollars U.S.) after the
end of the 2nd healing
session. With no exceptions. Then $500.00 (Five Hundred Dollars U.S.) each
recurring healing session
|Credit Cards||Watches, Jewelry||Computer Disks||Zip Drives||Pace Makers|
|Video Tapes||Televisions||Hearing Devices||Stereos||Video Camera's|
|Clocks||Cellular Phones||Digital Camera's||Computers||Audio Tapes|
|Human Infants||Small Metal-Objects||Battery devices||Batteries||Eye Glasses|
|Defibrillators||Insulin Pumps||Nicotine Patch's||Medication Patch's||Pets of all kind|
|Any Kitchen Tablewear and Other Items
kind that's magnetic
||Any and all Magnetic Items|
The Said Client will also inform Mr. McCoy (the Said Magnetic Therapist) if they have any METAL DENTAL WORK such as Metal Filling. And/or have received a Localized CORTISONE INJECTION in the past 2-3 weeks. Also if they have Metallic Strips after a Surgical Operation inside of their body. Or if they also have Convulsions. Have open wounds or during the period of menstruation. If they had just had a meal, or one and half hour following a meal. Have placed a Magnet on their head for a period exceeding 48 hours prior to Magnetic Therapy. Failure to inform Mr. McCoy of these things, could result of injury to their person. This I the Said Client acknowledge here and now, and I will take full responsibility, should I not inform Mr. McCoy prior.
I the Said
Client am also fully aware, that if I should
conceal such information,
become physically damaged because of it. Or my Fetus and/or Unborn
due to my deliberate concealment of such Grave
Facts. It will be no fault to the Said Therapist above. Mr.
Antonio Mark McCoy Sr. And he shall not be held liable for such damages
then. Also acknowledging that this Document shall cover the Said
"Mr. Antonio Mark McCoy Sr.", for all future and Recurring Appointments
me. Either on or in my Home, my Business, and/or my Recreational
His Premises. Or any other Premises. Regardless of the location. I the Said
understand all of the above, and Prior Information. And I also deem
as "FULLY MENTALLY COMPETENT" before signing here below.
And the Said Therapist can indeed refuse me his services if he so feels
that I am indeed concealing information of any of the above Grave
and Important Facts.
And I the Said
accept the Terms and the Fees for such said services
also waive any rights to bring suit against the Said Magnetic Therapist
"Mr. Antonio Mark McCoy Sr." For "any" claimed Damages. Property
Liability. By so signing I the Said Client have waived
any such rights. I also
all of the said instructions prior. And if I fail to adherent to them,
be none other than my own fault if I should do so. And I the Said
for all damages to property and any such liability claims from
immediately in the Magnetic Therapy Appointment Area. Who should not of
course be there in the first place, as said by Mr. Antonio Mark McCoy
prior. As said prior in this Information Sheet.
read and acknowledge
(agree to) all of the previous Information.
FULL PRINTED NAME OF THE SAID CLIENT
FULL SIGNATURE DATE
FULL HOME ADDRESS TELEPHONE NUMBER AND/OR E-MAIL ADDRESS
I witnessed the above acknowledgment on the
RARE-EARTH MAGNETIC THERAPIST FULL PRINTED NAME FULL SIGNATURE