Wellness With Muna Consultation Agreement
Please read these terms carefully and check to agree
By checking the boxes you agree to the following conditions for the upcoming consultation with your nutritionist/health coach:
The information I have provided/will provide via questionnaires, phone, email, in-person, or by any other means of communication is accurate to the best of my knowledge
The recommendations I will receive from my nutritionist/dietitian are not a substitute for medical advice from a qualified doctor.
The advice I will receive from my nutritionist is personal and applies to me only. This same advice may be ineffective or even harmful when applied to other people with different background.
I must communicate to my nutritionist any changes in my medical prescriptions or treatments for the duration of my nutrition plan.
I must inform my nutritionist/dietitian promptly if any of my new changes in diet or lifestyle start to cause me adverse effects.
I understand that the advice I shall receive will not be enough to achieve my nutrition or lifestyle goals unless I follow it diligently and commit to it fully.
I understand any changes in my diet and lifestyle may produce effects in my body, energy, health, and condition that are gradual in nature – not instantaneous.
I understand that, although my nutritionist/dietitian will endeavor to help me achieve my nutrition and lifestyle goals to the extent possible, the possibility exists I may not fully attain my goals due to factors outside the control of my nutritionist/dietitian.
I understand that, a cancellation fee of $15 is applicable if a 24 hour notice is not given for missing a scheduled appointment
Electronic signature – by entering my full name I acknowledge I have read and understood the terms above
A copy of your responses will be emailed to the address you provided.
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