Informed Consent, Medical Waiver and Release of Liability
I understand that the purpose of working with SMASH Worldwide and Sandra Miskimmin is to help me gain a better understanding of my diet, its role on my weight management and information on naturopathic options for better health.
The role of Sandra is to develop an appropriate health-supportive/weight management programme for me, and to monitor my progress in achieving my goals. A healthy lifestyle is of utmost importance in order to achieve this.
I understand that the purpose of these sessions is not to diagnose or treat disease and these sessions are not a substitute for appropriate medical treatment.
I understand that she will keep a record of our work together including screening forms and session notes. These will be stored securely and no information either verbal or written will be shared with a third party without my explicit consent.
I agree to be honest in all of the information that I provide. Honesty is vital in order for me to get maximum results.
I understand that working with Sandra will involve being weighed and taking body measurements - either in person or done remotely by yourself.
I understand that photographs shall be taken to show me how much I have progressed during your programme. These shall not be shared without my permission.
I understand that SMASH can not be held responsible for my actions when it comes to advice regarding weight loss and my weight loss is entirely my respsonsiblity.
Medical Waiver and Release of Liability
Sandra Miskimmin is not responsible for negligence, negligent use or health related consequences regarding the use naturopathic nutritionist advice given. Sandra Miskimmin cannot be held responsible for lack of education regarding the use naturopathic nutrition.
By signing below you accept the terms and conditions and agree not to hold Sandra Miskimmin responsible for any issues that may arise from the use of naturopathic nutrition and the advice of Sandra Miskimmin.
By signing this agreement, you are confirming that all the information that you are giving is correct.