New Universal Natural Healing Association LLC
A private education and health care membership association
I, ___, for
membership fee paid
(enter name as it will appear on membership
documents)
in hand, do hereby apply for membership in the New
Universal Natural Healing Association, herein known as NUNHA, a private
education and health care membership association. With the signing of this
membership agreement I accept the offer made to become a member of NUNHA and
have read and agree with the following declaration of purpose and the
articles of association.
The Association of members hereby declares that
our main objective is to protect our rights to freedom of choice
regarding our health information and care, through maintaining our
Constitutional rights.
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 for their country. We believe that the First Amendment of
the Constitution of the United States 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 Constitution and
statues. We strive to maintain and improve the civil rights,
constitutional guarantees, and freedom of choice in health care and
political freedom of every member and citizen of the United States of
America.
We declare the basic right of all of our members
to select practitioners and teachers from our number who could be
expected to give wisest counsel and advice concerning the need for
physical and mental healthcare assistance and to select from our
membership those members to assist and facilitate the actual performance
of the natural healing modalities that are approved and accepted by the
membership of NUNHA. These modalities may include but are not limited to
Reiki, Yoga, Soma Veda, Ecto-Somatic therapy, Therapeutic Touch,
massage, aromatherapy, herbalism, and other physical, emotional, mental,
and spiritual healing methods.
We proclaim the freedom to choose and perform for
ourselves the types of healing modalities that we think best for
achieving and maintaining optimum wellness of our minds, emotions,
spirits and bodies. We proclaim and reserve the right to include but are
not limited to cutting edge modalities practiced or used by any types of
healers or practitioners the world over whether traditional or
nontraditional, conventional or unconventional.
More specifically, the mission of our association
is to provide the highest level of education and quality care of the
whole self and the physical, mental, emotional, and spiritual aspects of
the whole self.
The Association will recognize any person
(irrespective of race, color, or religion) who is in accordance 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 purposes theretofore declared.
Memorandum of Understanding
I understand that the fellow members of the Association that provide
education and care do so in the capacity of a fellow member and not in the
capacity as a licensed healthcare provider. I further understand that within
the Association no doctor-patient relationship exists but only a contract
member Association relationship. In addition, I have freely chosen to change
my legal status as a public patient to a private member of the Association
in order to receive and exchange services with other members. 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, risks, and desirability of same and the acceptance of
the offered or recommended program, care, and products is my own carefully
considered decision. Any request by me to a fellow member to assist me or
provide me with the aforementioned care is my own free decision in an
exercise of my rights and made by me for my benefit. I agree to hold the
Trustees, staff, other members, and the Association harmless from any
unintentional liability for the results of such care, 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 States
Supreme Court.
Members have the right to choose whoever within the
Association is best qualified for their particular need and practice.
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 any and all complaints or grievances against the
Association, any Director(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 members for the benefit of the Association and its
members. Because the privacy and security of membership records maintained
within the Association which have been held to be inviolate by the U.S.
Supreme Court, the undersigned member waives HIPAA privacy rights and
complaint process. 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 of 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.
I agree to join the Association, a private membership
association under common law, whose members seek to help each other achieve
better health with good quality of life through principles of natural
healing.
I understand that the providers who are fellow member
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 care
provided by most physicians. I will receive such primary and specialist care
elsewhere. I fully understand that the benefits I receive from the
Association are probably not covered by any 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 evaluation technique or
remedy is foolproof. 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 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 any 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 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.
Private Member Consent, Disclosure and Disclaimer
Form
I, the undersigned, as a member of a private Association, NUNHA, hereby
declare and retain the following natural and God given rights under Article
IX of the Constitution of the United States of America:
1. The right to share education with other Association members for healing
modalities that are of my choosing, including those that are different from
conventional practices of healing, medicine, education, religion, and
spirituality. This practice may include me learning from the other member or
me providing teaching to the fellow member.
2. The right to practice healing modalities of my choice with other
Association members. This practice may include me receiving service from the
other member or me providing service to the fellow member.
3. The right to receive or provide products, services, education, and
therapy to any other private member of the Association for any benefit or
purpose that I and the other member agree upon.
4. I understand that as a member of a private Association I provide or
receive these products, services, education, and therapy without being
required to obtain a license from any government authority. I also
understand that any fellow member that I choose to provide or receive these
products, services, education, and therapy may not have a license from any
government authority.
5. I understand that these products, services, education, and therapy are
not intended as a substitute for any other medical care.
6. I understand that I provide or receive these products, services,
education, and therapy as a member of a private Association and NOT as a
member of the public.
7. I agree that I am responsible for my actions with other members of the
Association so I do herby indemnify, absolve, and release all other members
of the Association and officers, staff, and representatives of NUNHA
from any and all liabilities that may or may not be a result of my actions
with other members.
Ninth Amendment Declaration
Article IX of the Constitution of the United States of America: “The
enumeration in the Constitution of certain rights, shall not be construed to
deny or disparage others retained by the People.”
Under the Ninth Amendment of the Constitution of the United States of
America, I retain the right of freedom of choice in health care and
education of my physical, mental, emotional, and spiritual self. This
includes the right to choose my diet and to obtain products, services,
education, and practice any therapy or modality that I choose.
The enumeration in this declaration of these rights shall not be construed
to deny or disparage other rights retained by me, or my right to amend this
declaration at any time. Constructive Notice
Notice is hereby given to any person who receives a copy of this Declaration
and who, acting under the color of law, intentionally interferes with the
free exercise of the rights retained by me under the Ninth Amendment of the
Constitution of the United States of America, as enumerated in this
Declaration, that they may be in violation of my civil rights and
constitutional rights, Title 42, U.S.C. 1983 et seq. and Title 18, Section
241.
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 understand 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 any time. This Membership Contract, the Private Member
Consent, Disclosure and Disclaimer Form, and the Ninth Amendment Declaration
form consist of the entire agreement for my membership in the
Association and they supersede any previous agreement.
I understand that the membership fee entitles me to membership into NUNHA. I
agree to pay any and all fees for service, exchanges, products, or courses
as agreed upon by myself and other members.
I enclose the amount of $10 for term of 1 year as consideration for my membership contract,
said term beginning with the date of the signing of this contract, subject
to renewal, and by these presents do hereby certify, attest and warrant that
I have read the above and foregoing NUNHA Contractual Application for
Membership and I fully understand and agree with same. After submitting
form below you will be taken to page for online payment through PAYPAL.
IN WITNESS WHEROF I set my hand this
day of
(month, year)
enter name as it will appear on membership documents (same as above)