Elements of Life Ecclesiastical Health Association

ELEMENTS OF LIFE ECCLESIASTICAL HEALTH ASSOCIATION (ELEHA)

Membership Agreement

This Membership Agreement (“Agreement”) is entered into voluntarily between the undersigned individual (“Member”) and the Elements of Life Ecclesiastical Health Association (ELEHA), a values-based, spiritually informed natural health association.

This Membership Agreement exists to clearly inform and protect the Member, the Practitioner, and the Elements of Life Ecclesiastical Health Association (ELEHA). It establishes shared understanding, appropriate boundaries, and the nature of the relationship before any services are offered. By signing this agreement, all parties acknowledge the scope, limits, and responsibilities involved, which both safeguards everyone and enables the Practitioner to fully and properly operate within their authorized scope of practice in an ethical, respectful, and transparent manner.

Membership is required prior to participation in any services, education, guidance, or care offered through ELEHA or its affiliated practitioners.

I. Nature and Purpose of ELEHA

ELEHA is a values-based, spiritually informed natural health association focused on supporting balance, vitality, and well-being through non-medical, non-invasive, and educational approaches.

ELEHA services are rooted in:

natural health principles
energetic balance and awareness
spiritual and personal development
lifestyle and traditional wellness education

Membership in ELEHA does not require joining a church, adopting a new religion, or changing one’s personal beliefs.
Members retain full freedom of spiritual, religious, philosophical, or personal identity.

ELEHA does not operate as a medical clinic and does not provide medical diagnosis or medical treatment.

II. Establishment of Membership Relationship

By signing this Agreement, I acknowledge that:

I am voluntarily becoming a member of a values-based natural health association
My relationship with ELEHA practitioners is educational, spiritual, and supportive, not medical
Membership is established before any sessions, guidance, or services occur
Participation is based on shared values around natural, holistic, and spiritually informed approaches to health
I understand that this membership establishes clarity, transparency, and informed participation prior to any services

III. Scope of Services

I understand that services offered through ELEHA and its practitioners may include:

energetic and spiritual support
movement, breathwork, meditation, and awareness practices
lifestyle and wellness education
traditional and cultural approaches to health and balance
Non-invasive, touch-based energetic support, including structural and energetic alignment, prenatal support, postnatal support, birth support (doula-style), and end-of-life support, only where the practitioner holds the appropriate ELEHA training and certification
classical dietary and nutritional energetics
herbal teas or botanical offerings presented as lifestyle or energetic support
values-based or spiritually informed guidance

All services are provided as educational, energetic, spiritual, and lifestyle support only and given to assist the Jing, Qi and Shen to come to harmony.

IV. Non-Medical Acknowledgment

I expressly acknowledge and agree that:

ELEHA practitioners are not acting as licensed medical providers, unless separately credentialed
Services do not include:
- medical diagnosis
- treatment or prevention of disease
- prescription of medications
- medical nutrition therapy
No medical claims or guarantees are made

I retain full responsibility for my medical care and agree to seek licensed medical professionals for medical diagnosis, treatment, or emergencies.

I understand that no guarantees are made regarding outcomes, results, or improvements from any services provided.

This includes, but is not limited to, pregnancy, labor and delivery, postpartum care, infant care, end-of-life care, and structural or energetic alignment. I understand that ELEHA practitioners do not function as physicians, nurses, midwives, hospice providers, or licensed medical professionals, and do not replace such services. I further understand that all services are intended to support the body, energetic, emotional, mental, and spiritual aspects of the individual toward greater alignment and balance, and are not medical care, medical treatment, or the practice of medicine.

V. Nutrition, Herbs, and Botanical Practices

I understand that any discussion or offering related to food, nutrition, herbs, or botanical teas is provided as:

traditional and cultural education
energetic and lifestyle support
spiritual or personal wellness exploration

Such suggestions are not prescriptions, not medical treatments, and are entirely voluntary. I may accept or decline any suggestion at my own discretion.

I understand that ELEHA practitioners, where appropriately trained or certified within ELEHA programs, may offer recommendations related to nutrition, herbs, botanicals, or essential oils from an energetic, educational, or traditional perspective.

I understand that it is my responsibility to research, evaluate, and determine the appropriateness of any such recommendations, and to seek licensed medical or qualified professional guidance where necessary before implementing them.

VI. Spiritual Values & Bodily Integrity

I acknowledge that ELEHA respects and supports individual values and conscience, which may include:

belief in natural or holistic approaches to health
respect for bodily integrity and personal autonomy
preference for non-invasive or spiritually informed wellness practices

I understand that ELEHA may acknowledge these values within a values-based or spiritually informed context, but does not provide legal or medical guarantees related to external requirements or mandates.

VII. Autonomy, Responsibility & Medical Care

I affirm that:

My participation in ELEHA is entirely voluntary
I may withdraw from membership at any time
I remain responsible for my own health decisions
I understand and acknowledge that ELEHA does not interfere with medical treatment, emergency care, or licensed healthcare services

ELEHA encourages members to seek appropriate medical evaluation, diagnosis, and treatment from qualified licensed healthcare professionals whenever needed.

I understand that this includes decisions made during pregnancy, birth, postnatal recovery, and end-of-life care, and I accept full responsibility for my choices and any outcomes related to services received through ELEHA.

VII-A. Assumption of Responsibility

I acknowledge that my participation in ELEHA services is voluntary and self-directed.

I accept full responsibility for my decisions, actions, and outcomes related to any services, guidance, or recommendations received.

I understand that natural, energetic, and spiritual practices may produce varying or individualized responses, and I assume all responsibility for my participation.

VII-B. Limitation of Liability

To the fullest extent permitted by law, I agree to hold harmless the Elements of Life Ecclesiastical Health Association (ELEHA), its officers, board members, practitioners, instructors, and affiliated entities from any liability arising from my participation in services.

This includes, but is not limited to:

educational guidance
energetic or hands-on practices
use of natural substances or botanicals
participation in prenatal, birth, postnatal, or end-of-life support
movement practices, martial arts, Qigong, breathwork, or any physical practices provided through ELEHA

I understand that I am voluntarily choosing to participate in all physical, energetic, and movement-based practices and accept full responsibility for my participation.

I acknowledge that I have agreed to participate in these practices based on my own decision and understanding, and that I am responsible for determining whether such practices are appropriate for me.

I understand and consent, of my own free will, to any non-invasive, touch-based energetic support, including structural or energetic alignment, where such touch is within the practitioner’s scope of training and certification.

I understand that I may decline or withdraw consent to touch at any time.

I agree that I will seek licensed medical or qualified professional advice if I have any questions regarding my ability to safely participate in any physical or movement-based practices, and that I will notify my Licensed Ecclesiastical Health Practitioner (LEHP) of any limitations, conditions, or concerns that may affect my participation.

I understand that I participate at my own discretion and risk and agree to hold ELEHA harmless from any injury, outcome, or condition that may arise from my participation.

VIII. Confidentiality & Respect

ELEHA and its practitioners commit to respectful, ethical, and confidential conduct within the boundaries of this association, except where disclosure is required by law.

I understand that ELEHA operates outside conventional medical systems and is not governed by HIPAA or similar medical privacy regulations. However, ELEHA and its practitioners seek to uphold standards of confidentiality, respect, and discretion similar in spirit to such protections, and reasonable efforts are made to protect my personal information.

IX. Dispute Resolution

Any concerns or disputes related to membership or services will be addressed first through internal and values-based resolution within ELEHA prior to external action, whenever legally permissible.

X. Optional Communications & Information Sharing (Not Required)

ELEHA occasionally shares information related to:

educational programs or training opportunities
events, retreats, or lectures
articles or updates aligned with ELEHA’s educational mission

Participation in communications is entirely optional and is not required for membership or services.

Please indicate your preference below:

☐ Yes
☐ No

XI. Acknowledgment & Acceptance

By signing below, I affirm that:

I have read and understand this Agreement
I enter into membership freely and without coercion
I understand the nature, scope, and limits of ELEHA services
I understand that this is not a medical provider relationship
I understand that this membership does not require joining a church or religion

SIGNATURES

Member Name: __________________________
Signature: _____________________________
Date: _________________________________