Health Restored General Disclaimer

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General Disclaimer

Please fill in the information below as it correlates to the Disclaimer document above. By filling out and signing this document, you are authorizing that you understand this document and everything you are submitting is true and accurate to the best of your knowledge, and in doing so will legally bind yourself to this document. A physical version of this disclaimer to be used instead of the digital one, as well as a copy of this signed document can be made available upon request.