Clients seeking care through PHA Taranaki are asked to join a private membership association for a $10 lifetime membership fee. By only offering services to fellow members, we protect our practitioners from government regulations (eg compulsory vaccination) that affect providers offering services to the public.

I, _________________________________________, for $10 lifetime membership fee paid in hand, do hereby apply for membership in Peoples Health Alliance Taranaki, a private membership association.

ARTICLE I, DECLARATION OF PURPOSE

1. This Association hereby declares that our main objective is to protect our right to freedom of speech and freedom of choice regarding the method of healthcare we choose and the healthcare recommendations we provide our members.

2. 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.

3. Only Association members shall have access to all training, information, products and services the Association makes available through its members.

MEMORANDUM OF UNDERSTANDING
I understand that the fellow members of the Association who provide products, services, care and education, 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 a public patient, customer or client 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, risks, and desirability of same and the acceptance of the offered or recommended diagnosis, assessment, therapy, treatment and care is my own carefully considered decision.

Any request by meto a fellow member to assist me or provide me with the aforementioned diagnosis, assessment, therapy, treatment and care is my own free decision in an exercise of my rights and made by me for my benefit, and I agree to hold harmless other Association members 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. I also understand that, since the Association is protected by New Zealand Bill of Rights, it is outside the jurisdiction and authority of Crown or territorial authorities concerning any and all complaints or grievances against the Association, any Trustee(s), members or other staff persons.

All members shall have the right to select a panel of members (a minimum of six agreed by both members) to hear any dispute or grievance brought by the Association or any members.

I agree to join the Association, a private membership association under natural 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 non-licensed providers who are fellow members of the Association may offer me advice, services, education, and other 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.

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 of succeeding, realizing that no diagnostic technique or treatment 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 the assigned member service providers and my fellow members of the Association.

Member Signature For PHA Taranaki

For PHA Taranaki (print)

For PHA Taranaki (signature)

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