(a) A person who provides services pursuant to Section 2053.5 that are not unlawful under Section 2051 or 2052 shall, prior to providing those services, do the following:

1. (1) Disclose to the client in a written statement using plain language the following information:

   1. (A) That he or she is not a licensed physician.
   2. (B) That the treatment is alternative or complementary to healing arts services licensed by the state.
   3. (C) That the services to be provided are not licensed by the state.
   4. (D) The nature of the services to be provided.
   5. (E) The theory of treatment upon which the services are based.
   6. (F) His or her educational, training, experience, and other qualifications regarding the services to be provided.
2. (2) Obtain a written acknowledgment from the client stating that he or she has been provided with the information described in paragraph (1). The client shall be provided with a copy of the written acknowledgement, which shall be maintained by the person providing the service for three years.

(c) Nothing in this section or in Section 2053.5 shall be construed to do the following:

1. (1) Affect the scope of practice of licensed physicians and surgeons.
2. (2) Limit the right of any person to seek relief for negligence or any other civil remedy against a person providing services subject to the requirements of this section.