I hereby certify that all information about my health condition and nutrition are accurate and true with the best of my knowledge.
I acknowledge that Carilyn Moisan is not a licensed healthcare provider and that the services rendered under Carilyn Moisan Hypnotherapy, LLC will not be construed as medical or nutritional advice.
I understand that I am responsible for consulting my physician or healthcare provider about this nutrition consultation.
I release this institution and its employees from any liabilities, claims, and demands that may arise during this consultation.