I specifically authorize the natural health practitioners at Eagle Sport and Family Chiropractic to perform a Nutritional Response Testing health analysis and to develop a natural, health improvement program for me which may include dietary guidelines, nutritional supplements, etc. This program is designed to assist me in improving my health during the next 4 months with a MINIMUM of 1 follow up appointment per month. This is not for the treatment, or "cure" of any disease!
I understand that Nutritional Response Testing is a safe, non-invasive, natural methodof analyzing the body's physical and nutritional needs. Nutritional Response Testing is donc with physical touch and palpitation on the body.
I understand that Nutritional Response Testing is not a method of "diagnosing" or "treating" ANY disease, conditions, cancer, infections, AIDS. or medical conditions.
No promise or guarantee has been made regarding the results of Nutritional Response Testing or any other nutritional program or dietary program recommended, but rather I understand that Nutritional Response Testing is used to aid in determining possible nutritional imbalances for the purpose of developing a safe natural program to get to a more optimum state of health. I have read and understand the foregoing. In signing I hereby give consent to subsequent visits and consultations.