Participant Informed Consent and Disclosure Statement
Source Medicine Wellbeing Research Programme
Thank you for your interest in participating in your chosen Wellbeing Research Programme. We are providing you with the following information so that you can make an informed choice about your decision to engage in the programme. Please read this information carefully and let us know if there is any part that you do not understand. As an intentional and conscious participant, you will ultimately take responsibility for any actions relating to your health and well-being.
This research programme has not been evaluated or approved by the USA Food and Drug Administration (FDA) or official body in any country and is not intended to diagnose, treat, cure, or prevent any disease, nor is it intended as a substitute for appropriate medical care.
This experimental audio Resonance technology has been developed by Source Medicine. Twenty years of work with large human populations (over 100,000) using Source Medicine audio Resonances and formulations indicate that these can be helpful in supporting people in recovering from a range of health conditions and in both getting well and staying well during a variety of epidemics. The use of this technology is yet to be fully researched and it is not an approved medical device.
By ticking “I Agree” at the bottom of this document, and participating in our programme, you understand that the audio Resonances are considered experimental. If you have questions or concerns about the theories applicable to the audios, contact us here to ask for further resources or references. See also sourcemedicine.zone.
The directions for audio Resonance use are included with the app. If you have any questions about their use, see our in-app FAQs or contact us here.
Please note that it is impossible to guarantee any specific outcome using this app product based on the audio Resonances. We do not know how you will personally respond and/or whether the technology will help you to achieve the goals you wish to achieve regarding your health and wellbeing. To date, we are unaware of any adverse side effects, where used appropriately and as recommended.
Please be advised that the audio Resonances are not intended to be a substitute for medical treatment and do not replace the services of health care professionals. You agree to consult with your health care provider for any specific health care problems. In addition, you understand that any information shared with you is not to be considered a recommendation that you stop seeing any of your health care professionals or using prescribed medication without consulting with your health care professional. This is the case even if, after using our app, it appears that such medication or treatment is unnecessary. You agree to take full responsibility for your self-care in the emotional, mental, physical and spiritual dimensions of your life. If, during the usage of our app, you experience any distressing reactions, please bring this to our attention immediately and, if appropriate, contact your licensed health care professional for further assistance.
Participants are expected to provide feedback on any changes experienced while using this technology. All information is held securely by Source Medicine and shared, confidentially, with your provider and your Programme Advisor. It is also used anonymously for research purposes.
Acknowledgment and Consent to Use Product(s)
By ticking your consent within the app, you agree that we have disclosed to you sufficient information to enable you to decide to undergo or forgo participating in your chosen research programme. You understand that you are freely choosing to take advantage of this programme and would otherwise have the option of using conventional services exclusively, provided by another practitioner of your choosing. You understand that your participation is given voluntarily, without coercion, and may be withdrawn at any time in the future. Furthermore, you understand that the audio Resonances are a new wellbeing approach and their actions, as well as the risks and benefits, are not fully known. Therefore you agree to assume and accept full responsibility for any and all risks associated with the usage of the product(s) and participating in the programme. You represent that you’re competent and able to understand the nature and consequences of the proposed experiment.
You have read and understood the above disclosure about the services offered. You understand the nature of the product/services to be provided. You understand that it is your responsibility to maintain a relationship for yourself with an appropriate professional health care provider. You have consented to use the product(s) offered. By ticking in the space provided in the app you knowingly, voluntarily and intelligently assume these risks and agree to release, indemnify, hold harmless and defend all parties including Source Medicine, Source Medicine Affiliates and Affiliate Organisations, their owners and officers, from and against any and all claims of whatsoever kind or nature which you or your representatives may have for any loss, damage or injury arising out of, or in connection with this study program.
By ticking ‘I agree’ in the relevant space provided in the app programme, you confirm that you have read, understand and accept this Participant Informed Consent and Disclosure Statement in its entirety.