GENERAL LIABILITY WAIVER AND RELEASE

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I understand and certify that Lori and Bob Hollander or any associate of Hollander Counseling Associates LLC will provide me with information about communication techniques only. Although Lori and Bob Hollander or any associate of Hollander Counseling Associates LLC are psychotherapists, the information provided by Lori and Bob Hollander or any associate of Hollander Counseling Associates LLC is for educational purposes only and to provide educational information. It is not intended to be professional psychotherapy or counseling in any form or fashion, nor is the information intended to convey specific and individual advice. I understand and certify that Lori and Bob Hollander or any associate of Hollander Counseling Associates LLC are not treating any physical, psychiatric or psychological condition that I may have. I am totally responsible if I choose to implement any techniques that I learn from Lori and Bob Hollander or any associate of Hollander Counseling Associates LLC and realize I need not accept any educational information that Lori and Bob Hollander or any associate of Hollander Counseling Associates LLC presents. I will not discontinue any psychiatric, psychological or physical treatment that I am currently receiving as a result of the information and instruction provided by Lori and Bob Hollander or any associate of Hollander Counseling Associates LLC.

I agree to consult my psychotherapist or physician before acting upon information or implementing any techniques that Lori and Bob Hollander or any associate of Hollander Counseling Associates LLC may provide. If the information presented is used without consultation and approval of a physician or psychotherapist, the individual will be diagnosing for him or herself. No responsibility is assumed by Lori and Bob Hollander or any associate of Hollander Counseling Associates LLC for the use of the information contained herein in lieu of a physician’s or psychotherapist’s services. The information presented herein by Lori and Bob Hollander or any associate of Hollander Counseling Associates LLC is not intended to diagnose, treat, cure or prevent any disease, psychiatric or psychological condition. Do not attempt to self-treat based on information provided herein.

I have carefully read this agreement and fully understand its content before I use any information provided by Lori and Bob Hollander or any associate of Hollander Counseling Associates LLC. I am aware that this is a waiver and release of potential liability of Lori and Bob Hollander or any associate of Hollander Counseling Associates LLC.