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SCENTSIBLE SERVICES FORMS

Introduction to Scentsible Lifestyle's Private Membership Association (PMA)

 

Scentsible Lifestyle Association is not a business. It’s a bridge we are building together to a new an ancient way of living.

 

We are like-hearted individuals, 'ohana walking our own paths, yet with shared intentions for restoring health to ourselves, our community and our planet.

In 2020, I created Scentsible Lifestyle Association as a Private Membership Association (PMA) because I value the ability to freely gather, share, heal, teach and learn with others.  PMAs protect our ability to exercise these values.

 

PMA membership is included in any purchase on this website of services, events or retreats and (due to the nature of PMAs) membership is required to participate.

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What is a Private Membership Association?

If you've ever shopped at Hobby Lobby, or called AAA (the American Automobile Association), you may already be a PMA member. PMA medical offices, gyms and grocery stores exist and operate right next to publicly-held corporations and LLC’s.

A PMA is made up entirely of members, like a club. They are rapidly gaining popularity because the private legal realm (as opposed to the public) provides much greater protection for freedom of association, speech and the right to receive alternative healthcare, and the Supreme Court has repeatedly ruled in favor of PMA rights.* 

In times of crisis, when these rights are at risk, PMA’s offer a sanctuary.

I founded this one to empower our 'ohana to connect in person, learn from and care for each other, and tend our sacred ‘āina for generations to come.​

I hope you will resonate with this agreement, and why I put it in place, so that we may welcome you to our PMA!

 

Please scroll down to sign the forms at the bottom of the two documents that follow.

 

Namaste, beloved, and blessings to you.

What is a PMA?

SCENTSIBLE SERVICES FORMS

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Please pardon the use legal language. I know it can be overwhelming because legal language has been used in the past to trick people—to strip our rights and our property or that of our ancestors. To those who have suffered such an indignity, I give a deep bow.

In this first document, our goal is to empower every member to reclaim their sovereignty, by formally claiming our right to free speech, association and medical choice.

It also requires us to take responsibility for our healthcare decisions made inside the association. This might seem odd to those who have relied on outside authorities to direct their healthcare. However, large portions of the medical profession can no longer be trusted: major pharmaceutical companies have been convicted of multiple felonies for knowingly addicting people to drugs that are lethal, a very large percentage of hospital deaths are due to medical error, and physicians are taught to prescribe and manage, not to heal.

Given this reality, I believe taking personal responsibility for our health and finding supportive, health-oriented practitioners and communities is essential. It does takes skill, practice and effort. Occasionally mistakes may be made. In this community, we will do our best to learn from them, and together, find ways to restore the balance.

There are 2 pages of forms that follow: The Scentsible Lifestyle PMA Agreement and the Scentsible Services Intake Forms. Completing both finalizes your registration and should take under 5 minutes.

PART 1: THE SCENTSIBLE LIFESTYLE ASSOCIATION TERMS AND AGREEMENT
 

Scentsible Lifestyle Association was created as a sanctuary for its members to have the freedom to associate and assemble to learn and share about wellness practices that include spiritual and medicinal traditions from our collective ancestry.


We exercise our rights to learn about holistic health in our private membership-only settings.
 

We require our participants and facilitators to be members of our association so we can freely share, in our private settings, about our experiences and stories of wellness through the modalities that we use and teach.
 

The Association is focused on developing leaders in the health and wellness field through mentoring, education and facilitation of community circles with the use of herbs, essential oils and toxin-free products. Modalities of practice in members-only gatherings (in-person and online) include but are not limited to hands-on anointing, massage and application of essential oils, sound healing, meditations, chanting, nature hikes, gardening and harvesting of plants, a variety of spiritual and prayer-based energy work, book discussions, movement practices including but not limited to yoga, qi gong and dance. Members will have access to an online private community where they can learn, discuss and share stories of health and wellness as a result of practicing any of the modalities that Scentsible Lifestyle Association educates on.

Association Agreement

I, the undersigned, for membership fee already included in the course/event/service that I am purchasing, do hereby apply for membership in Scentsible Lifestyle Association, a private membership organization. With the signing of this membership agreement I/we accept the offer made to become a member of Scentsible Lifestyle Association and have read and agree with the Declaration of Purpose from Article I of Scentsible Lifestyle Association’s Articles of Association (read articles).
 

Memorandum of Understanding
 

I understand that the fellow members of the Association that provide education, services, products and wellness 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 that 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 client/customer 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 services and products, etc. is my own carefully considered decision.
 

Any request by me to a fellow member to assist me or provide me with the aforementioned care, recommendations, services, products, etc. is my own free decision in an exercise of my rights and made by me for my benefit, and I agree to hold the Trustee(s), staff and other worker members and the Association harmless from any unintentional liability for the results of such care, etc., 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.
 

The Trustee and members have chosen Lee Yen Anderson as the person best qualified to perform health services to members of the Association and entrust her to select other members to assist her in carrying out those services.
 

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 concerning any and all complaints or grievances against the Association, any Trustee(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 member for the benefit of the Association and its members.
 

Because of the privacy and security of medical and health 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 the complaint process. Health 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 in 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 but will provide a suitable invoice for the member to pursue reimbursement by his/her insurance company, if applicable.

I agree to join the Association, a private membership association under common law, whose members seek to help each other achieve better health and wellness with good quality of life.
 

I understand that any doctors, nurses and other providers who are fellow members of the Association are offering me recommendations, services, products and benefits that do not necessarily conform to conventional health care. I do not expect these benefits to include on-call coverage, hospital care, or the usual and customary care provided by most physicians. I will receive such primary and specialist care elsewhere.
 

I fully understand that the benefits I receive from Association might or might not be covered by my health insurance and not at all by Medicare.
 

As a member, I accept the goals of helping my body function better and choosing modalities that are both very safe and have a reasonably good chance to succeed, realizing that no modality or technique 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 providers and 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 my own 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 of the Association 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.
 

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 understood this document, and my questions have been answered fully to my satisfaction.
 

These pages and Article I of the Articles of Association of the Association 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 receive those benefits declared by the Trustee(s) to be “general benefits” free of further charge.
 

I understand that any other fees charged for future courses or events are optional and will be offered at a membership discount.
 

I understand that I am being offered an ongoing membership, said term beginning with the date of the signing of this contract, and I understand that I can withdraw from this agreement and terminate my membership in this association at any time. By these presents do hereby certify, attest and warrant that I have carefully read the above and foregoing Scentsible Lifestyle Association’s Contractual Application for Membership, and I fully understand and agree with same.

Forms
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