• HEALTH PRACTITIONER WAIVER & INFORMED CONSENT

    Equilibrium Health and Wellness, LLC
  • PURPOSE AND SCOPE OF SERVICES
    I understand that the services provided by Michelle Gonzalez-Delgado are intended to support general wellness and lifestyle improvements. These services may include but are not limited to: nutrition and supplement guidance, lifestyle and habit coaching, stress management, and general health education.

    I acknowledge that Michelle Gonzalez-Delgado is a Level 2 Certified Health Practitioner and not a licensed medical doctor, psychologist, or dietitian, and does not diagnose, treat, or cure medical conditions.


    CLIENT RESPONSIBILITIES
    I understand that:

    I am solely responsible for my health and wellness.
    I should consult my primary care provider or other qualified medical professional before making changes to my medication, diet, exercise, or supplement regimen.
    Any decisions I make as a result of coaching are my own and I take full responsibility for the outcomes.

    CONFIDENTIALITY
    All personal health information I share will be kept confidential unless I give written permission to release it or unless disclosure is required by law.


    WAIVER OF LIABILITY
    I hereby release, waive, and discharge Michelle Gonzalez-Delgado and Equilibrium Health and Wellness, LLC  from any and all liability, claims, or demands for injuries, damages, or losses that may arise from my participation in coaching services.

    I acknowledge that I am participating voluntarily and accept full responsibility for any risk, injury, or adverse effect that may result from coaching recommendations.


    INFORMED CONSENT
    I acknowledge that:

    I have had the opportunity to ask questions about the services provided.
    I understand the nature of the coaching relationship and the limitations of the practitioner’s role.
    I am voluntarily participating and may withdraw at any time without penalty.

     

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