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One Week In Paradise is designed to assist patients to start developing healthy lifestyle habits for the prevention and treatment of chronic diseases. During this program, patients will be under the care and supervision of licensed, registered, and certified health professionals including: Licensed Medical doctor, Licensed Naturopathic doctor(s), Registered Psychotherapist, Registered Massage therapist, Certified Holistic Nutritionist, Certified Personal Trainer / Exercise Physiologist * *

Yes, I understand

A number of therapeutic approaches may be used: Lifestyle medicine (including but not limited to nutrition, sleep, exercise, stress management, and spirituality), Nutritional supplements, Phytotherapy (Botanical/Herbal Medicine), Physical Medicine, Massage therapy, Psychotherapy , Hydrotherapy. The slight health risks of some treatments include, but are not limited to: aggravation of pre-existing symptoms or conditions, allergic reaction to supplements, medications or herbs, and pain. *

Yes I understand the therapeutic approaches that will be used and accept the risks associated with these therapies

Program components: Medical/Clinical: A blood test will be recommended by the Medical doctor(s) and / or Naturopathic doctor(s) prior to the start of the program. On day one, your assigned doctor will take the initial case history, perform any relevant physical exams, review laboratory test results, and will use this information to help guide your treatments. The doctor(s) will be providing overall supervision of your treatments throughout the duration of the program. You will have a consultation with them on day one and again near the end of the program. Other appointments can be made as needed. *

Yes, I understand and accept that this is a component of the One Week In Paradise program

Program component: Exercise therapy: A Certified Personal Trainer(s) and/or Certified Exercise Physiologist(s) will be supervising exercise tests and sessions. On day one, you will be doing a fitness assessment (ex. step test, push-ups, grip strength, flexibility, back extension, vertical jump, planks, and balance) to ascertain base-line fitness levels (specific tests may be adjusted depending on your age and physical capabilities). The exercise sessions will involve resistance training (dumb bells, calisthenics, and resistance bands), flexibility and aerobic exercise (ex. Brisk walking) components. Near the end of the program, the certified personal trainer(s) and/or certified exercise physiologist(s) will provide you a take-home exercise program. *

Yes, I understand and accept that this is a component of the One Week In Paradise program

Program component: Nutrition: The Certified Holistic Nutritionist(s) will do an initial assessment of your nutritional status on day one. Throughout the rest of the program, he/she will be guiding you through nutrition and cooking classes. The cooking classes may have a hands-on component. *

Yes, I understand and accept that this is a component of the One Week In Paradise program

Program component: Supplements/herbal medicine: The Doctor(s) and Certified Holistic Nutritionist(s) may recommend taking herbs (tea, capsules or tablets) and/or nutritional supplements (vitamins, minerals) as part of your therapy. *

Yes, I understand and accept that this is a component of the One Week In Paradise program

Program component: Hydrotherapy: The doctors may order hydrotherapy treatments for you. Hydrotherapy is the therapeutic use of water (hot and cold) in the treatment of various ailments. Treatments may include: sauna sessions, hot and cold showers, foot baths, sitz baths, and hot and cold fomentations. *

Yes, I understand and accept that this is a component of the One Week In Paradise program

Program component: Poultices and other topical therapies: The Doctor(s) may recommend poultices (ex. Charcoal) or other topical applications (ex. castor oil packs) as a part of your therapy. *

Yes, I understand and accept that this is a component of the One Week In Paradise program

Program component: A Registered Massage therapist will oversee your massage sessions. These will be used to address musculoskeletal concerns, and/or provide an opportunity for relaxation and stress / tension relief. Stretching handouts will be available in your information package. *

Yes, I understand and accept that this is a component of the One Week In Paradise program

Program component: Psychotherapy: A Registered Psychotherapist will perform an initial mental health screen on day one and a final consult near the end of the program. *

Yes, I understand and accept that this is a component of the One Week In Paradise program

Program component: Marriage coaching will be available to patients. The marriage coaching aims to improve communication and overall wellbeing of marriages and relationships using principles based on the science-based Gottman method. *

Yes, I understand and accept that this is a component of the One Week In Paradise program

Program components - Health talks, devotionals and recreation: The program involves health lectures by the doctor(s). The topics will be focused on lifestyle medicine. Spirituality is an important aspect of health. Patients are invited to attend early morning prayer and bible devotional sessions. Recreational activities may include group hiking, and movie screenings. *

Yes, I understand and accept that this is a component of the One Week In Paradise program

The above modalities may induce complications in certain physiological conditions such as pregnancy, lactation, very young children, very elderly and in certain conditions including but not limited to diabetes, liver, heart, or kidney disease, and cancers. It is therefore important to inform your doctor of any illnesses you currently have, and medications and supplements you may be taking (prescription or over-the- counter). If you are a female and are pregnant, suspect you may be pregnant or are nursing, please advise your Doctor. *

Yes I understand

Hospitality / Lodging / Meals: Two daily plant-based meals (breakfast and lunch) will be provided. Fresh vegetable juices or smoothies may be recommended as well. Meals will be plated and served. Accommodations will be made for allergies and food sensitivities. The Doctor(s) and Certified Holistic Nutritionist(s) may also customize certain aspects of your meal plan as needed. You will be provided a private room at the program site location. Various hospitality staff and volunteers will be on-site to support patients. *

Yes I understand

Telemedicine: There may be certain instances where both patient and the health professional may deem it most appropriate to do consults by telephone or using conferencing software. Telemedicine is the use of electronic information and communication technologies by a healthcare provider to deliver services to a patient when he/she is located at a different site than the provider. I understand that the laws that protect privacy and confidentiality of medical information also apply to telemedicine. As always, your insurance carrier will have access to your medical records for quality review/audit. I also understand that during a telemedicine consult there are limitations to the level of physical examination that the health professional can perform. I may revoke my consent orally or in writing at any time by informing the staff. *

Yes I understand

COVID-19 safety protocols: Upon arrival, all staff and patients will undergo symptoms screening and monitored throughout the program. During the program, if the medical team determines a high likelihood of COVID-19: 1. Patient will be isolated in their room to be monitored and provided care OR patient has the option to return home OR emergency medical services may be activated if the case is emergent. 2. All other staff and patients will be notified. Patients and guests do not need to disclose vaccination status. Masks are not required. Thorough sanitation procedures will be followed. *

Yes I understand

Post-program follow-up care: The attending Medical doctor is there to oversee care during One-Week-in-Paradise and is not a replacement for your primary care provider / Family Physician. At the end of the program, patients should continue follow-up care with their family doctor. If the patient requests health records (including labs) to be sent to their primary care family physician, this can be arranged. This also applies to the other Healthcare providers unless special arrangements are made for continued care after the program. I understand that any follow-up appointments with the licensed Naturopathic doctor(s), registered massage therapists, registered Psychotherapists or certified Nutritionists are done so independently and any fees for service are not covered by the registration price for One-Week-In-Paradise. *

Yes I understand

As a patient participating in the One Week in Paradise program, I am at liberty to seek or continue medical care from a medical doctor or other health care provider. This consent form is intended to cover the entire course of the program for my present condition(s). I understand that I am free to withdraw my consent and to discontinue participation at any time. I understand that a record will be kept of the health services provided to me. This record will be kept confidential and will not be released to others without my consent, unless required by law. I understand that I may look at my medical record at any time and may request a copy of it by paying the appropriate fee. I understand that the health professionals will answer any questions I have to the best of his / her ability. I understand that the results are not guaranteed. *

Yes I understand and agree

With the knowledge mentioned above, I voluntarily agree to participate in the program above. I understand that treatment advice will not be given over the phone or via e-mail unless directly relating to specifics discussed during a clinic visit. I accept full responsibility for any fees incurred during care and treatment. I understand that charges are to be paid upon arrival unless previous arrangements have been made prior to my scheduled appointment. *

Yes I understand and agree