In regards to this participation, I understand the following:
- I am not required to participate by any means;
- If I do so choose to participate, any medical information that is to be supplied, or any medical examination that is necessary to undergo is strictly voluntary.
- Participation in this program does not take the place of consulting a personal physician in any way; and
- Neither the experts nor XYZ Company participating in this program assume any responsibility for diagnosis or treatment.
