"Thankful Thursdays - Tea & (Wellness) Treats with Dr. T!"

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Welcome Wellness Seeker,

Is your life busy and sometimes stressful? (...are we human?? ... : )

This is your invitation to join a FREE wellness gathering on First Thursdays of the month between 8:30-9:30am -- followed by Community Acupuncture** -- with me, Dr. Laura C Tiberio ND MSOM and other wellness friends. Start your day with a cup of tea, wellness tip and gratitude reflection.

Please fill and submit in the form below as your RSVP (so we know to expect you) and kindly share this link with friends and family -- because wellness is better together! Note: Fill out one form for each person attending each month. You'll be prompted for another response, if needed, after you submit this form, thank you!

Not a patient? Not a problem. Though we ask you to RSVP to best receive you, this is a casual social gathering for all wellness-minded people - all wellness seekers are welcome!

Questions? Drop them below or email drltiberio@protonmail.com.

Wellness blessings,

Dr. Laura

“There is no trouble so great or grave that cannot be diminished by a nice cup of tea.” - Bernard Paul Heroux

**Note for those interested: Community Acupuncture sessions can be booked online and are conducted in a relaxing group setting on zero-gravity seating with Red Light Therapy for returning patients - purchase your "Community Acupuncture Membership" prior to booking your appointment online to apply your membership discount. Looking for a private Community Acupuncture Session booking for your group or team days/evenings/weekends? Email drlauratiberio@protonmail.com.

Not at patient yet? Book your Free Meet and Greet discovery and Initial ND consult here today!

Email *

First Name *

Last Name *

Cell Number *

Wellness Request? Please share a wellness topic or concern you'd like to learn more about for our wellness tip before next month's Tea & Wellness Session... *

Thankful Thursdays - "Tea & (Wellness)Treats with Dr. T" Participation Declaration:

I can't wait for you to join me for a cozy cup of tea and wellness! Please read, check all boxes and sign below as your agreement for this event. I, undersigned, agree to....

Join Dr. Laura C Tiberio ND MSOM at 2316 Jefferson Avenue, West Vancouver, to engage in conversation over tea with other wellness-seekers. I understand that this declaration and meeting/session(s) is not a patient-doctor relationship nor consent for medical advice and/or treatment, but instead an opportunity to meet in a social environment (inside or outside -weather permitting), practice gratitude and, where applicable, learn wellness education.

I acknowledge that this is a very low risk activity but that accidents (such as a superficial burn from hot tea, etc) can happen at any time through no apparent fault of others and, therefore, agree to participate in this event at my own risk and to hold blameless Dr. Laura C Tiberio ND MSOM, property owners and/or third parties at this event and agree this is an appropriate activity for me.

I acknowledge that in the event that I have a physical/mental/emotional condition/concern (i.e. allergies, social anxiety, etc) that warrants disclosure to Dr. Tiberio, for my best well-being and/or safety of myself and others, that I have discussed/will discuss this concern with Dr. Tiberio prior to the event for my benefit and for a safe environment for all. I understand this disclosure will be considered confidential except in the rare situation that my or other's safety may become compromised and/or if it is in the interest of my/others best well-being.

I acknowledge that on some occasions photos may be taken at the event(s) for educational and/or promotional purposes, though persons may be non-identified. I agree and consent to this activity and use of photos for these purposes; or, if I do not consent, I agree to discreetly remove myself from any apparent scene/situation during the event and hold blameless Dr. Laura C Tiberio ND MSOM or other third parties for any such activity and use in exchange for my full consent.

Required

Declaration Consent Signature - Print Full Name *

Today's Date *

YYYY

Interested in a wellness consultation? Please go to the booking page here.

Questions? I'd love to learn more to serve you. Please email me at drlauratiberio@protonmail.com. Thank you.

Wishing you the best of health and looking forward to seeing you for tea soon,

Dr. Laura :)

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