Please read carefully (and I appologize for the length, but it is necessary)

By submitting this form you are applying for membership in Abundant Health Ministries (hereinafter referred to as “Association”), a private healthcare membership organization. With the signing of this membership agreement I accept the offer made to become a member of Abundant Health Ministries and have read and agree with the following Declaration of Purpose from Article I of Abundant Health Ministries Articles of Association.

1.      This association of members hereby declares that our main objective is to protect our rights to freedom of choice regarding our healthcare information and care, through maintaining our Constitutional rights.

2.      As members, we affirm our belief that the Constitution of the United States is one of the best documents ever devised by man and the signers of the Declaration of Independence did so out of love their country. We believe that the First Amendment of the Constitution of the United Sates of America guarantees our members the rights of free speech, petition, assembly, and the right to gather together for the lawful purpose of advising and helping one another in asserting our rights under the Federal and State Constitutions and Statutes. We strive to maintain and improve the civil rights, constitutional guarantees, and freedom of choice in healthcare and political freedom of every member and citizen of the United Sates of America.

3.      We declare the basic right of all of our members to select spokesmen from our number who could be expected to give wisest counsel and advice concerning the need for physical and mental health care assistance and to select from our membership those members who are the most skilled to assist and facilitate the actual performance and delivery of therapy, treatment and care, as well as recommend products and therapeutic devices.

4.      We proclaim the freedom to choose and perform for ourselves the types of therapies and treatment modalities that we think best for assessing, treating and preventing illness and disease of our minds and bodies and for achieving and maintaining optimum wellness. We proclaim and reserve the right to include medical and health options that include, but are not limited to, cutting edge treatment modalities and therapies practiced or used by any type of healers or therapists or practitioners the world over, whether traditional or nontraditional, conventional or unconventional.

5.      More specifically, the mission of our Association is to provide members with the highest level of quality care and the most effective methods of treatment. We treat members and their health condition, and not merely the symptoms experienced. Our Association understands that wellness has many dimensions and strives every day to stay on the leading edge of new products and technologies. The Association provides the most advanced products and technologies to assess all aspects of a member’s disease and/or health and provides the most effective means of treatment at an affordable fee. More specifically, the Association specializes in the devices and modalities as alternative to medications.

6.      The Association will recognize any person (irrespective of race, color, or religion) who is in the association with these principles and policies as a member, and will provide a medium through which its individual members may associate for actuating and bringing to fruition the purpose theretofore declared.

I understand that the fellow members of the Association that provide health assessment, therapy, treatment and care, products, electronic instruments, etc. do so in the capacity of a fellow member and not in the capacity as a licensed health care provider. I further understand that within the Association no doctor-patient relationship exists but only a contract member-member Association relationship. In addition, I have freely chosen to change my legal status as public patient to a private member of the Association. I further understand that it is entirely my own responsibility to consider the advice and recommendations offered to me by my fellow members and to educate myself as to the efficacy, risk, and desirability of same and the acceptance of the offered or recommended health assessment, therapy, treatment and care, products, subtle energy devices and electronic instruments, etc. is my own carefully considered decision. Any request by me to a fellow member to assist me or provide me with the aforementioned health assessment, therapy, treatment and care, products, subtle energy devices and electronic instruments, etc. is my own free decision in an exercise of my rights and made by me for my benefit and I agree to hold the Trustee(s), staff and other worker members and the Association harmless form any unintentional liability for the results of such care, etc. except for harm that results from instances of a clear and present danger of substantive evil as determined by the Association, as stated and defined by the United Sates Supreme Court.

The Trustees and members have chosen Terri Truesdale D.C. as the person best qualified to perform services to members of the Association which include products, subtle energy devices, homeopathic medicine, nutritional counseling, and supplement recommendations and entrust her to select other members to assist her in carrying out those services.

In addition, I understand that, since the Association is protected by the First and Fourteenth Amendments to the U.S. Constitution, it is outside the jurisdiction and authority of Federal and State Agencies and Authorities concerning any and all complaints or grievances against the Association, any Trustee(s), members or other staff persons. All rights of complaints or grievances will be settled by an Association Committee and will be waived by the member for the benefit of the Association and its members. Because the privacy and security of medical membership records maintained within the Association have been held to be inviolate by the U.S. Supreme Court, the undersigned member waives HIPAA privacy rights and complaint process. Healthcare records kept by the Association will be strictly protected and ONLY released upon written request of the member. I agree that violation of any waivers in this membership contract will result in a no contest legal proceeding against me. In addition, the Association does not participate in any medical insurance plans or collections on behalf of the member, but will provide a suitable invoice for the member to pursue reimbursement by his/her insurance company, if applicable.

I agree to join the Association, a private membership association under common law, whose members seek to help each other achieve better health and live longer with good quality of life.

I understand that the doctors, nurses, and other providers  who are fellow members of the Association are offering me advice, services and benefits that do not necessarily conform to conventional medical care. I do not expect these benefits to include on-call coverage, hospital care or the usual and customary care provided by most physicians. I will receive such primary and specialist care elsewhere. I fully understand that the benefits I receive from Association might or might not be covered by my health insurance and not at all by Medicare.

As a member, I accept the goals of helping my body function better and choosing techniques that are both very safe and have a reasonably good chance to succeed, realizing that no diagnostic technique or treatment is full proof. If I choose to forgo drugs, surgery or radiation that has been recommended to me by others, I fully accept the risk that I might suffer serious consequences from that choice. Other aspects of informed consent will take place in my discussions with the providers (when participating in membership) and my fellow members of the association.

My activities within the association are a private matter that I refuse to share with the State Medical Board, the FDA, Medicare, Medicaid or my own insurance company without my expressed specific permission. All records and documents remain as property of the Association, even if I receive a copy of them. I fully agree not to file a malpractice lawsuit against a fellow member of the Association, unless that member has exposed me to a clear and present danger of substantive evil. I acknowledge that the members of the Association do not carry malpractice insurance.

I enter into this agreement of my own free will or on behalf of my dependent without any pressure or promise of cure. I affirm that I do not represent any state or federal agency whose purpose is to regulate the practice of medicine. I have read and understood this document, and my questions have been answered fully to my satisfaction. I understand that I can withdraw from this agreement and terminate my membership in this association at anytime. I understand that if/when I do withdraw membership, that my membership fees are non-refundable. These pages consist of the entire agreement for my membership in the Association and they supersede any previous agreement.

I agree to the charge of an annual $97 registration fee (additional family member rate is $47 registration fee per person, can be added at any time). Annual payment is on an auto-renew basis and will renew until I reach out to the Association formally requesting cancelaion. As consideration for my membership contract, said term beginning with the date of the signing of this contract, and by these presence do hereby certify, attest and warrant that I have carefully read the above and foregoing Abundant Health Ministries application for membership and I fully understand and agree with same.

In addition, every subsequent meeting I agree to pay additional membership service fees for the various health services rendered according to the fee schedule provided in the Membership Guide (subject to change).

Lastly, I understand that the Association may not exist in perpetuity, and should it dissolve for any reason, no refund of membership fees will be awarded to me. Upon any possible future dissolution, I will have access to all health files that pertain to me. These documents will not be used in any legal proceedings post dissolution and will remain private. I understand too, that should dissolution of the Association occur, I will be given a 30 day notice prior to the date of dissolution.